The clinic nurse reviews the record of an infant and notes that the health care
provider has documented a diagnosis of suspected Hirschsprung's disease.
The nurse reviews the assessment findings documented in the record,
knowing that which sign most likely led the mother to seek health care for the
infant correct answer -Foul-smelling ribbon-like stools
An infant has just returned to the nursing unit after surgical repair of a cleft
lip on the right side. The nurse should place the infant in which best position
at this time? correct answer -Left lateral position
The nurse reviews the record of a newborn infant and notes that a diagnosis
of esophageal atresia with tracheoesophageal fistula is suspected. The nurse
expects to note which most likely sign of this condition documented in the
record? correct answer -Choking with feedings
The nurse provides feeding instructions to a parent of an infant diagnosed
with gastroesophageal reflux disease. Which instruction should the nurse give
to the parent to assist in reducing the episodes of emesis? correct answer -
Thicken the feedings by adding rice cereal to the formula.
A child is hospitalized because of persistent vomiting. The nurse should
monitor the child closely for which problem? correct answer -Metabolic
alkalosis
The nurse is caring for a newborn with a suspected diagnosis of imperforate
anus. The nurse monitors the infant, knowing that which is a clinical
manifestation associated with this disorder? correct answer -Failure to
pass meconium stool in the first 24 hours after birth
The nurse admits a child to the hospital with a diagnosis of pyloric stenosis.
On assessment, which data would the nurse expect to obtain when asking the
parent about the child's symptoms? correct answer -Projectile vomiting
The nurse provides home care instructions to the parents of a child with celiac
disease. The nurse should teach the parents to include which food item in the
child's diet? correct answer -Rice
, The nurse is preparing to care for a child with a diagnosis of intussusception.
The nurse reviews the child's record and expects to note which sign of this
disorder documented? correct answer -Bright red blood and mucus in the
stools
Which interventions should the nurse include when creating a care plan for a
child with hepatitis? Select all that apply. correct answer -Providing a low-
fat, well-balanced diet
Teaching the child effective hand-washing techniques
Instructing the parents to avoid administering medications unless prescribed
An infant born with an imperforate anus returns from surgery after requiring
a colostomy. The nurse assesses the stoma and notes that it is red and
edematous. Based on this finding, which action should the nurse take?
correct answer -Document the findings.
The clinic nurse is assessing jaundice in a child with hepatitis. Which
anatomical area would provide the best data regarding the presence of
jaundice? correct answer -The nail beds
The parents of a newborn with a cleft lip are concerned and ask the nurse
when the lip will be repaired. With which statement should the nurse
respond? correct answer -Cleft-lip repair is usually performed during the
first weeks of life.
A 1-year-old child is diagnosed with intussusception, and the mother of the
child asks the student nurse to describe the disorder. Which statement by the
student nurse indicates correct understanding of this disorder? correct
answer -"It is a condition in which a proximal segment of the bowel
prolapses into a distal segment of the bowel."
A 3-year-old child is seen in the health care clinic, and a diagnosis of
encopresis is made. The nurse expects to provide teaching about which client
problem? correct answer -Odor
A home care nurse instructs the mother of a 5-year-old child with lactose
intolerance about dietary measures for her child. The nurse should tell the