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NSG 3600 PEDS EXAM 3
2026|WELL REVISED ASSESSMENT
WITH VERIFIED SOLUTIONS 2026
Hirschsprung Symptoms - correct-answer -- inability to pass stool meconium
within the first 24-48 hours,
- visible reverse peristalsis,
- ribbon-like stool in older kids
- Newborn failure to thrive,
hirschsprung dx and tx - correct-answer -DX
- X-ray , Anorectal biopsy
- Barium Enema
TX
- Removal of aganglionic section
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- Colostomy
- Anastomosis
Hirschsprung Intervention - correct-answer -- NPO and NGT pre-op
- Teach parents colostomy care
- Monitor for Enterocloitis s/s- explosive bloody bm, distended abdomen and
fever
- Also think cystic fibrosis
celiac disease - correct-answer -disease caused by sensitivity to gluten
celiac signs and symptoms - correct-answer --Anorexia
-Diarrhea
-Constipation
-STEAOTORRHEA
-Abdominal pain
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-Abdominal bloating
-Abdominal distention
-Weight loss
Celiac Dx/Tx - correct-answer -Dx: Small bowel biopsy, serological markers.
Tx: Gluten free diet: THINK BROWN
- Barley
-Rhye
-Oats
-Wheat
-Nope
They can subsititue for rice, millet, quinoa.
Celiac Interventions - correct-answer -- Teach parents how to read labels
-Supplemental calories, vitamins, mineral
-Supplement ADEK vitamins
-High calorie and high protein diet
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Hypertrophic Pyloric Stenosis (HPS) - correct-answer -constriction of the pyloric
sphincter, palpable as an olive-like mass in the upper abdomen
- Caucasian males are most at risk
Hypertrophic Pyloric Stenosis S/S - correct-answer -- PROJECTIVE VOMITTING
- olive-shaped mass URQ
- failure to gain weight
-dehydration
- always hungry
Hypertrophic Pyloric Stenosis dx and tx - correct-answer -DX
- Ultrasound
-Palpation of mass
TX
- Surgery immediately
NSG 3600 PEDS EXAM 3
2026|WELL REVISED ASSESSMENT
WITH VERIFIED SOLUTIONS 2026
Hirschsprung Symptoms - correct-answer -- inability to pass stool meconium
within the first 24-48 hours,
- visible reverse peristalsis,
- ribbon-like stool in older kids
- Newborn failure to thrive,
hirschsprung dx and tx - correct-answer -DX
- X-ray , Anorectal biopsy
- Barium Enema
TX
- Removal of aganglionic section
,2|Page
- Colostomy
- Anastomosis
Hirschsprung Intervention - correct-answer -- NPO and NGT pre-op
- Teach parents colostomy care
- Monitor for Enterocloitis s/s- explosive bloody bm, distended abdomen and
fever
- Also think cystic fibrosis
celiac disease - correct-answer -disease caused by sensitivity to gluten
celiac signs and symptoms - correct-answer --Anorexia
-Diarrhea
-Constipation
-STEAOTORRHEA
-Abdominal pain
,3|Page
-Abdominal bloating
-Abdominal distention
-Weight loss
Celiac Dx/Tx - correct-answer -Dx: Small bowel biopsy, serological markers.
Tx: Gluten free diet: THINK BROWN
- Barley
-Rhye
-Oats
-Wheat
-Nope
They can subsititue for rice, millet, quinoa.
Celiac Interventions - correct-answer -- Teach parents how to read labels
-Supplemental calories, vitamins, mineral
-Supplement ADEK vitamins
-High calorie and high protein diet
, 4|Page
Hypertrophic Pyloric Stenosis (HPS) - correct-answer -constriction of the pyloric
sphincter, palpable as an olive-like mass in the upper abdomen
- Caucasian males are most at risk
Hypertrophic Pyloric Stenosis S/S - correct-answer -- PROJECTIVE VOMITTING
- olive-shaped mass URQ
- failure to gain weight
-dehydration
- always hungry
Hypertrophic Pyloric Stenosis dx and tx - correct-answer -DX
- Ultrasound
-Palpation of mass
TX
- Surgery immediately
