NR 602 FINAL REVIEW EXAM
QUESTIONS & CORRECT ANSWERS
ALREADY GRADED A+ PASS
What is colic?
"rule of threes”: an infant with colic
“cries for more than 3 hours a day,
for more than 3 days a week,
and more than 3 weeks”
Colic can persist up to age 5 months. Due to the amount of crying, regurgitation and vomiting
may occur after feedings
What medication(s) have shown to be effective in treating Colic (if any?)
Dicyclomine (Bentylol®, Merbentyl®) & Hyoscyamine (Levsin
Drops®, Donnalix Infant Drops
Are alternative medications such as probiotics effective in the treatment of Colic?
There is no clear evidence that probiotics are more
,effective
Appendicitis
RLQ pain, typically increases when walking, jumping or coughing, and usually worsens as time
goes on
Foreign Bodies
objects swallowed by a toddler/child:
more common in infants after 6 months with coordination of hand-mouth movements.
Coins are the most common culprit. Most objects pass without problem; 10% to 20% require
surgical management.
Signs and symptoms include dysphagia, odynophagia, drooling, regurgitation, abdominal pain,
and difficulty breathing.
Intussusception
Intestinal obstruction that causes intermittent abdominal pain, sometimes with vomiting and
bloody stool.
The sliding of one part of the intestine into another. The pressure created by the walls of the
intestine pressing together causes:
decreased blood
flow, irritation, and swelling.
, If a hole occurs:
infection, shock, and dehydration can occur rapidly.
Most common between 6 and 36 months but may present in younger infants. Vomiting is
bilious once obstruction occurs
CH 40 Gi Disorders Questions
The parent of a colicky infant asks about using a probiotic medication. What will you tell them?
There is no conclusive evidence about using probiotics to treat colic.
A toddler who was born prematurely refuses most solid foods and has poor weight gain. A
barium swallow study reveals a normal esophagus.
What will the primary care pediatric nurse practitioner consider next to manage this child's
nutritional needs?
Video fluoroscopy swallowing study (FTT + Weight loss)
A toddler is seen in the clinic after a 2-day history of intermittent vomiting and diarrhea. An
assessment reveals an irritable child with dry mucous membranes, 3 3-second capillary refill, 2-
second recoil of skin, mild tachycardia and tachypnea, and cool hands and feet. The child has
had two wet diapers in the past 24 hours.
QUESTIONS & CORRECT ANSWERS
ALREADY GRADED A+ PASS
What is colic?
"rule of threes”: an infant with colic
“cries for more than 3 hours a day,
for more than 3 days a week,
and more than 3 weeks”
Colic can persist up to age 5 months. Due to the amount of crying, regurgitation and vomiting
may occur after feedings
What medication(s) have shown to be effective in treating Colic (if any?)
Dicyclomine (Bentylol®, Merbentyl®) & Hyoscyamine (Levsin
Drops®, Donnalix Infant Drops
Are alternative medications such as probiotics effective in the treatment of Colic?
There is no clear evidence that probiotics are more
,effective
Appendicitis
RLQ pain, typically increases when walking, jumping or coughing, and usually worsens as time
goes on
Foreign Bodies
objects swallowed by a toddler/child:
more common in infants after 6 months with coordination of hand-mouth movements.
Coins are the most common culprit. Most objects pass without problem; 10% to 20% require
surgical management.
Signs and symptoms include dysphagia, odynophagia, drooling, regurgitation, abdominal pain,
and difficulty breathing.
Intussusception
Intestinal obstruction that causes intermittent abdominal pain, sometimes with vomiting and
bloody stool.
The sliding of one part of the intestine into another. The pressure created by the walls of the
intestine pressing together causes:
decreased blood
flow, irritation, and swelling.
, If a hole occurs:
infection, shock, and dehydration can occur rapidly.
Most common between 6 and 36 months but may present in younger infants. Vomiting is
bilious once obstruction occurs
CH 40 Gi Disorders Questions
The parent of a colicky infant asks about using a probiotic medication. What will you tell them?
There is no conclusive evidence about using probiotics to treat colic.
A toddler who was born prematurely refuses most solid foods and has poor weight gain. A
barium swallow study reveals a normal esophagus.
What will the primary care pediatric nurse practitioner consider next to manage this child's
nutritional needs?
Video fluoroscopy swallowing study (FTT + Weight loss)
A toddler is seen in the clinic after a 2-day history of intermittent vomiting and diarrhea. An
assessment reveals an irritable child with dry mucous membranes, 3 3-second capillary refill, 2-
second recoil of skin, mild tachycardia and tachypnea, and cool hands and feet. The child has
had two wet diapers in the past 24 hours.
