Answers.
Which intervention should the nurse include in care of an infant following surgical repair of a
cleft lip? - Answer administer pain meds as ordered
A nurse is obtaining a history on an 18-month old child with diarrhea. Which of the following
questions might help to identify the cause of this condition? - Answer Does the child have
any food sensitivities?
Has the child traveled recently?
Has the child been on antibiotics recently?
Do any other family members have diarrhea?
An 8-month-old is admitted for severe diarrhea. Which of the following would be a significant
finding for this child? - Answer depressed anterior fontanel
A child is admitted with gastroenteritis from suspected rotavirus. To prevent the spread of this
disease, the nurse should: - Answer observe enteric contact precautions
When assessing a newborn with cleft lip, the nurse should be alert that which of the following
will most likely be compromised? - Answer sucking ability
A newborn infant is diagnosed with tracheoesophageal fistula (TEF). The nurse assesses the
infant, knowing that a typical finding in this disorder is: - Answer cyanosis, coughing, choking
Which assessment finding should lead the nurse to suspect esophageal atresia in an infant? -
Answer excessive drooling
Which of the following patients should the nurse suspect to have pyloric stenosis? - Answer
a five- week- old infant with projectile vomiting
An infant diagnosed with hypertrophic pyloric stenosis is admitted with history of vomiting for
several days.
, Which nursing diagnosis should be the priority? - Answer Deficient fluid volume related to
prolonged vomiting
A nurse is discharging an infant after a pyloric stenosis repair. Which statement by the mother
would indicate the need for further instructions prior to discharge? - Answer If my infant
vomits, I should hold feedings for 6 hours."
A nurse is preparing a child for a barium enema. For which of the following conditions would
this plan of care be appropriate? - Answer Intussusception
Which question would be most helpful in obtaining a nursing history from the mother of an
infant with suspected intussusception? - Answer What do your child's stools look like?
Which intervention should NOT be included in the preoperative plan of care for an infant with
gastroschisis or omphalocele? - Answer Push the abdominal contents back into the
abdomen.
A child is being prepared for immediate surgery due to risk of life-threatening respiratory
distress. Which of the following gastrointestinal illness is a priority consideration for this
problem? - Answer Diaphragmatic hernia
Which of the following instructions should be provided to parents of an infant with
gastroesophageal reflux? - Answer Elevate the head of the crib.
A 7-year-old child has been admitted with a diagnosis of appendicitis. The nurse should expect
to see which of the following lab results for this child? - Answer Serum leukocytes
22,000/microliter
A newborn's failure to pass meconium within the first 24 to 48 hours after birth may indicate all
of the following conditions EXCEPT: - Answer Intussusception
A nurse is preparing to administer low-dose erythromycin (E.E.S.) to a 6-year-old child. In
reviewing this medication, the nurse understands that the mechanism of action is to: - Answer
Accelerate gastric emptying
A child with acid reflux is given metoclopramide (Reglan). A family member asks why the child is
receiving this medication. What is the best response by the nurse? - Answer "This
medication helps prevent acid reflux by clearing food out of the stomach more quickly."
A child with gastroesophageal reflux disease (GERD) is prescribed omeprazole (Prilosec) to treat
this condition.