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What are physiologic differences in the GI system of infants and adults? -
🧠ANSWER ✔✔- pyloric sphincter of stomach is more relaxed
- perisaltic waves go in reverse
- stomach is smaller and empties more rapidly
- swallowing is a reflex for the first 3 months of life
- stools are looser due to liquid diet (until the introduction of solids around
4-6 months)
- GI tract secretes less enzymes and fluid
- GI tract more susceptible to infection
- liver is immature and more prone to hypoglycemia
- more prone to dehydration
- no control of defecation or urination (until 2-3 years of age)
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,How do we assess the GI system of a child? - 🧠ANSWER ✔✔Inspection
Auscultation: normoactive bowel sounds x4Q
Palpate: soft or firm, pain or tenderness, masses
Nutrition: tolerance of feedings, emesis and characteristics, projectile,
intake, growth, weight gain
Stools: color, consistency, size, frequency
Family hx: celiac disease, Crohn's
What is a cleft lip or palate? - 🧠ANSWER ✔✔Intrauterine incomplete fusion
of the lip and/or hard or soft palates of the mouth
How is a cleft lip or palate assessed/diagnosed? - 🧠ANSWER ✔✔Before
delivery
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,- ultrasound
After delivery
- inspection
- palpation
- feeding issues (cannot form a complete seal around the nipple)
Are bilateral or unilateral clefts more common? - 🧠ANSWER ✔✔Unilateral
At what age is surgical intervention common for cleft lips and palates? -
🧠ANSWER ✔✔Lips: age 2-3 mos
Palate: age 6-12 mos
What are post-op interventions for cleft lip or palate repair? - 🧠ANSWER
✔✔- monitor pain
- decrease crying episodes
- possible soft board or elbow restraints (infants are likely to be touching an
picking at sutures)
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, - assess site for infection
- apply antibiotic ointment to the suture line as ordered or indicated
- do not breastfeed or use a bottle, instead use a small pill cup or syringe to
give small sips and decrease tension on the suture line
- encourage mother to continue breastfeeding/pumping and educate on the
need for frequent pumping and bottle feeding breastmilk
What are possible complications of a cleft lip or palate? - 🧠ANSWER ✔✔-
speech/language deficits
- *higher risk for ear infections*
- dental issues
What is an inguinal hernia? - 🧠ANSWER ✔✔Intrauterine incomplete
closure of the abdominal wall near the groin
Leads to bulging of the intestines and abdominal contents through the
abdominal wall
What are clinical manifestations of an inguinal hernia? - 🧠ANSWER ✔✔-
painless swelling, bulging
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STATEMENT. ALL RIGHTS RESERVED
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