2027) Intro to Family NP | Questions and Verified
Answers | 100 out of 100 | Grade A – South
Alabama
When does malrotation occur?
at about the 10th week of gestation
What is a malrotation?
a congenital abnormality that occurs during the embryonic phase of development when the
midgut retracts into the abdominal cavity. The midgut rotates counterclockwise
When do infants typically become symptomatic with a malrotation?
at 3 weeks of life
What is the classic sign of a malrotation?
bilious vomitting
How is a malrotation diagnosed?
upper GI study
What are some radiologic findings that are indicative of a malrotation?
, CMN568 / CMN 568 Unit 3 Exam (Latest 2026 /
2027) Intro to Family NP | Questions and Verified
Answers | 100 out of 100 | Grade A – South
Alabama
corkscrew appearance with barium swallow; Signs of obstruction (air-fluid levels) may be
present, along with an abnormal gas pattern at the stomach and duodenum.
What is pyloric stenosis?
results from hypertrophy of the pyloric sphincter (muscle in the distal stomach), which leads to
poor gastric emptying into the duodenum.
When does pyloric stenosis usually present?
At 2-4 weeks of age
What are the symptoms of pyloric stenosis?
vomiting that becomes projectile; typically occurs immediately after feeding, is nonbilious, and
the infant is hungry after vomiting. The parents may also report constipation, excessive crying
and weight loss, or failure to gain weight
What can delay symptoms of pyloric stenosis?
breastfeeding
What is pyloric stenosis usually mistaken for?
reflux or formula intolerance
, CMN568 / CMN 568 Unit 3 Exam (Latest 2026 /
2027) Intro to Family NP | Questions and Verified
Answers | 100 out of 100 | Grade A – South
Alabama
What is the hallmark finding of pyloric stenosis?
an olive-shaped mass in RUQ
What are typical lab and radiologic findings of a baby with pyloric stenosis?
hypochloremia, metabolic alkalosis, Hypokalemia. KUB imaging reveals a dilated gastric
silhouette. An ultrasound typically reveals a thickened and elongated pylorus, measuring greater
than 4 mm.
What is intussusception?
involves the invagination of a section of the intestine into itself. The most frequent site is at the
terminal ileum.
What is often a predisposing factor of intussusception?
A recent viral illness, mesenteric lymphadenitis, Henoch-Schonlein purpura, and cystic fibrosis
What is the typical age of onset of idiopathic intussusception?
6 to 18 months, with an average age of 7 to 8 months
, CMN568 / CMN 568 Unit 3 Exam (Latest 2026 /
2027) Intro to Family NP | Questions and Verified
Answers | 100 out of 100 | Grade A – South
Alabama
If intussusception occurs beyond 36 mths, it is typically due to a physical abnormality such as?
meckel's diverticulum or polyps
Is intussusception more common in girls or boys?
boys
What is the classic presentation of intussusception?
colicky abdominal pain, recent viral illness with some vomiting and perhaps diarrhea. The child
begins to have episodes of colicky abdominal pain, draws up the knees or stiffens the legs for a
brief period, and then becomes quiet for several minutes. The series of events recurs, typically
every 15 to 20 minutes, and continues for several hours. The child may have blood in his or her
stools, prompting the "currant jelly" descriptor
What is typically present on palpation with intussusception?
A sausage shaped mass typically in the right lower quad
What interventions should be considered when intussusception is suspected?
consult a pediatric surgeon. Initiate intravenous hydration and order an air-contrast enema.
Consider an abdominal ultrasound as well