PEDS EXAM 2 CP Quizzes
CHAPTER 42:
A mother brings her 3-year-old son to the ER and tells the triage nurse that he has been vomiting
blood. A medical history determines that the 3-year-old has no history of GI disturbances and his
only symptoms are a slightly elevated fever and vomiting bright red blood. Based on these
symptoms, what condition might the nurse suspect?
You Selected:
•
Acute upper GI bleeding
Correct response:
•
Acute upper GI bleeding
Explanation:
Vomiting bright red blood indicates acute upper GI bleeding.
Emesis containing brown, foul-smelling stool indicates GI
obstruction. Stool with red blood and mucus is associated with
intussusception. Bleeding is not generally indicative of
gastroesophageal reflux.
The nurse caring for an 18-month-old infant with Meckel diverticulum knows that the most
common clinical manifestation of this condition is:
You Selected:
•
Painless rectal bleeding
Correct response:
•
Painless rectal bleeding
Explanation:
With Meckel diverticulum, most symptomatic children present
younger than age 2 years. Intermittent, painless rectal bleeding is
the most common clinical manifestation of Meckel diverticulum.
The blood is most often bright red or maroon and may be passed
independent of stool due to ulceration at the junction of the
ectopic tissue and the normal ileal mucosa.
The nurse is caring for a child admitted with gastroesophageal reflux (GER). Which clinical
manifestation would likely be seen in this child?
You Selected:
Correct response:
,PEDS EXAM 2 CP Quizzes
•
Effortless vomiting just after the child has eaten
Correct response:
, PEDS EXAM 2 CP Quizzes
•
Effortless vomiting just after the child has eaten
In caring for an infant diagnosed with pyloric stenosis the nurse would anticipate which
intervention?
You Selected:
•
prepare the infant for surgery
Correct response:
•
prepare the infant for surgery
Explanation:
In pyloric stenosis, the thickened muscle of the pyloris causes
gastric outlet obstruction. The treatment is a surgical correction
called a pyloromyotomy. The condition is not painful, so no
analgesics would be needed until after surgical repair. The
condition is not related to lactose in the diet, so changing to
lactose-free formula would not correct the condition. A barium
enema would be used to diagnose intussusception.
The nurse is reinforcing dietary teaching with the caregiver of a child diagnosed with celiac
syndrome. The caregivers make the following statements. Which statement indicates a need for
further teaching regarding the dietary restrictions for the child with celiac syndrome?
You Selected:
•
“Even though milk and pudding are good for her, we
don't give her those foods.”
Correct response:
•
“She loves hot dogs, and we always cut hers up into small
pieces.”
•
Commercially canned creamed soups, cold cuts, frankfurters, and pudding mixes
generally contain wheat products and should not be included in the diet of the child with
celiac syndrome. This caregiver needs further teaching regarding giving her child hot
dogs, even if they are cut into small pieces. The other choices show an understanding of
the dietary restrictions.
•
Which assessment finding would suggest that a child's postoperative feeding schedule following
pyloric stenosis surgery should be slowed?
You Selected:
Correct response:
CHAPTER 42:
A mother brings her 3-year-old son to the ER and tells the triage nurse that he has been vomiting
blood. A medical history determines that the 3-year-old has no history of GI disturbances and his
only symptoms are a slightly elevated fever and vomiting bright red blood. Based on these
symptoms, what condition might the nurse suspect?
You Selected:
•
Acute upper GI bleeding
Correct response:
•
Acute upper GI bleeding
Explanation:
Vomiting bright red blood indicates acute upper GI bleeding.
Emesis containing brown, foul-smelling stool indicates GI
obstruction. Stool with red blood and mucus is associated with
intussusception. Bleeding is not generally indicative of
gastroesophageal reflux.
The nurse caring for an 18-month-old infant with Meckel diverticulum knows that the most
common clinical manifestation of this condition is:
You Selected:
•
Painless rectal bleeding
Correct response:
•
Painless rectal bleeding
Explanation:
With Meckel diverticulum, most symptomatic children present
younger than age 2 years. Intermittent, painless rectal bleeding is
the most common clinical manifestation of Meckel diverticulum.
The blood is most often bright red or maroon and may be passed
independent of stool due to ulceration at the junction of the
ectopic tissue and the normal ileal mucosa.
The nurse is caring for a child admitted with gastroesophageal reflux (GER). Which clinical
manifestation would likely be seen in this child?
You Selected:
Correct response:
,PEDS EXAM 2 CP Quizzes
•
Effortless vomiting just after the child has eaten
Correct response:
, PEDS EXAM 2 CP Quizzes
•
Effortless vomiting just after the child has eaten
In caring for an infant diagnosed with pyloric stenosis the nurse would anticipate which
intervention?
You Selected:
•
prepare the infant for surgery
Correct response:
•
prepare the infant for surgery
Explanation:
In pyloric stenosis, the thickened muscle of the pyloris causes
gastric outlet obstruction. The treatment is a surgical correction
called a pyloromyotomy. The condition is not painful, so no
analgesics would be needed until after surgical repair. The
condition is not related to lactose in the diet, so changing to
lactose-free formula would not correct the condition. A barium
enema would be used to diagnose intussusception.
The nurse is reinforcing dietary teaching with the caregiver of a child diagnosed with celiac
syndrome. The caregivers make the following statements. Which statement indicates a need for
further teaching regarding the dietary restrictions for the child with celiac syndrome?
You Selected:
•
“Even though milk and pudding are good for her, we
don't give her those foods.”
Correct response:
•
“She loves hot dogs, and we always cut hers up into small
pieces.”
•
Commercially canned creamed soups, cold cuts, frankfurters, and pudding mixes
generally contain wheat products and should not be included in the diet of the child with
celiac syndrome. This caregiver needs further teaching regarding giving her child hot
dogs, even if they are cut into small pieces. The other choices show an understanding of
the dietary restrictions.
•
Which assessment finding would suggest that a child's postoperative feeding schedule following
pyloric stenosis surgery should be slowed?
You Selected:
Correct response:
