Ch.34 Exam Prep Child With A Gastrointestinal Condition - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 34: Child With a Gastrointestinal Condition
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is educating the parents of a child diagnosed with C. diff. on proper precautions for infection control. Which statement by the parents indicated to the nurse that more education is needed?
1) | “Staff will wear gowns and gloves when caring for our child.” |
2) | “C. diff. can be spread by contact with our child’s fecal matter.” |
3) | “A sign will be placed on the door of our child’s room to indicate that she is in isolation.” |
4) | “Everyone should use hand sanitizer upon entering and leaving our child’s room.” |
____ 2. When the nurse is assessing the abdomen of a child hospitalized for diarrhea, which step does she perform first?
1) | Auscultation |
2) | Percussion |
3) | Deep palpation |
4) | Light palpation |
____ 3. When assessing a child admitted to the hospital for gastroenteritis the nurse notices that the child has no tears when crying. What should the nurse be concerned about?
1) | Delayed development |
2) | C. diff. |
3) | Pyloric stenosis |
4) | Dehydration |
____ 4. The pediatric nurse examines a 5-week-old infant who has been observed having projectile, nonbilious vomiting. Upon palpation, the nurse feels an olive-shaped mass in the midepigastrium. Based on these data, which condition does the nurse suspect?
1) | Rectal atresia |
2) | Pyloric stenosis |
3) | Intussusception |
4) | Malrotation of the intestine |
____ 5. An adolescent who is brought to the emergency department (ED) by his parents has the following symptoms: periumbilical pain that peaks at 4-hour intervals followed by right lower quadrant pain, which is followed by vomiting. Based on these data, which condition does the nurse suspect?
1) | Meckel’s diverticulum |
2) | Omphalitis |
3) | Appendicitis |
4) | Ulcerative colitis |
____ 6. A pediatric nurse examines the abdomen of a preschool-aged child brought to the doctor’s office by the grandmother because of vomiting over the last several days. Upon inspection, the nurse observes that the child’s stomach is distended. Based on these data, which condition does the nurse suspect?
1) | Intestinal obstruction |
2) | Kidney failure |
3) | Displaced abdominal organs |
4) | Omphalitis |
____ 7. The nurse is assessing abdominal girth for a pediatric client who presents with vomiting. Which nursing action is appropriate?
1) | Measuring the girth just below the umbilicus |
2) | Measuring the girth just below the sternum |
3) | Measuring the girth directly over the child’s umbilicus |
4) | Measuring the girth at the nipple line |
____ 8. The pediatric nurse is interpreting laboratory values for a patient suspected of having ulcerative colitis. Which finding does the nurse anticipate based on the diagnosis?
1) | Microcytic anemia |
2) | Decreased sedimentation rate |
3) | Decreased white blood cell count |
4) | Protein in the urine |
____ 9. The nurse is preparing to discharge a child diagnosed with Hirschsprung’s disease from the hospital. Which topic is appropriate for the nurse to include in the discharge teaching with the child’s parents?
1) | The foods to avoid because of increased risk for allergic reactions |
2) | The importance of eliminating dairy products |
3) | The care required for a temporary colostomy |
4) | Home administration of total parenteral nutrition (TPN) and lipids |
____ 10. The nurse is providing care to a pediatric client diagnosed with inflammatory bowel disease who is prescribed daily prednisone. Which parental statement regarding administration of this drug indicates correct understanding of the teaching provided by the nurse?
1) | “I will administer this medication between meals.” |
2) | “I will administer this medication at bedtime.” |
3) | “I will administer this medication 1 hour before meals.” |
4) | “I will administer this medication with meals.” |
____ 11. Which assessment data cause the nurse to suspect that a 16-month-old has celiac disease?
1) | Clay-colored stools and dark urine |
2) | History of early passage of meconium in the newborn period |
3) | History of chronic, progressive constipation |
4) | Foul-smelling stools, flatulence, and weight loss |
____ 12. An adolescent client reports recurrent abdominal pain with diarrhea and bloody stools. Which type of inflammatory bowel disease does the nurse suspect based on these data?
1) | Necrotizing enterocolitis (NEC) |
2) | Ulcerative colitis (UC) |
3) | Crohn’s disease |
4) | Appendicitis |
____ 13. How does an infant acquire the intestinal bacteria needed for digestion and elimination?
1) | Environmental exposure |
2) | A vitamin K injection at birth |
3) | Formula |
4) | Breastmilk |
____ 14. Why is a chemistry panel an important laboratory test to order when caring for a child with a gastrointestinal condition?
1) | It monitors white blood cell (WBC) count as evidence of infection. |
2) | It demonstrates the blood levels of electrolytes that are affected by fluid loss. |
3) | It demonstrates the level of inflammatory chemicals found in the blood. |
4) | It demonstrates anemia by showing the hematocrit and hemoglobin levels. |
____ 15. Which parental statement at the end of a teaching session by the nurse indicates correct understanding of colostomy stoma care for the infant client?
1) | “We will change the colostomy bag with each wet diaper.” |
2) | “We will expect a moderate amount of bleeding after cleansing the area around the stoma.” |
3) | “We will watch for skin irritation around the stoma.” |
4) | “We will use adhesive enhancers when we change the bag.” |
____ 16. Nurses caring for children with gastrointestinal conditions must be aware of the signs and symptoms of moderate dehydration. Which of the following is not a sign of moderate dehydration?
1) | 8% weight loss |
2) | Capillary refill of 3–4 seconds |
3) | Sunken fontanel |
4) | Moderate thirst |
____ 17. Which nursing intervention is appropriate when caring for the child suffering from an inflammatory bowel disease?
1) | Provide high-fat snacks to help combat weight loss. |
2) | Provide heating pads for relief of abdominal pain. |
3) | Educate parents on the need for the child to drink a gallon of fluid daily to avoid dehydration. |
4) | Educate on first-line treatment with chemotherapeutic drugs. |
____ 18. An inflammatory process that occurs in the stomach, small intestine, or large intestine is known as which of the following?
1) | Gastroesophageal reflux |
2) | Abdominal distention |
3) | Viral infection |
4) | Gastroenteritis |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 19. Which gastrointestinal defects often diagnosed shortly after birth should the nurse include in the assessment process of all newborns? (Select all that apply.)
1) | Pyloric stenosis |
2) | Biliary atresia |
3) | Hirschsprung’s disease |
4) | Crohn’s disease |
5) | Cleft palate |
____ 20. A neonate is born with a bilateral cleft lip that was not detected during the pregnancy. The parents are distressed about the appearance of their infant. Which nursing actions are appropriate to assist the parents in bonding with their newborn? (Select all that apply.)
1) | Calling the newborn by the chosen name |
2) | Keeping the newborn’s lower face covered with a blanket |
3) | Smiling and talking to the newborn in the parents’ presence |
4) | Showing the parents before and after pictures of other children with cleft lips |
5) | Discussing positive features of the baby |
____ 21. A pediatric nurse discusses with the parents the medications prescribed for a school-aged child who is diagnosed with Crohn’s disease. Which are usual pharmacological options for treatment? (Select all that apply.)
1) | Corticosteroids |
2) | Infliximab |
3) | Diphenhydramine |
4) | Naproxen sodium |
5) | Methotrexate |
____ 22. When completing a thorough health history on a child with gastrointestinal issues the nurse knows that it is important to ask which of the following questions related to gastrointestinal health? (Select all that apply.)
1) | Can you tell me what you had to eat yesterday? |
2) | How often does your child have a bowel movement? |
3) | Does your child have a pet? |
4) | Do you ever see your child eating things that are not considered food? |
5) | Are there any firearms in your home? |
____ 23. When providing care to a child admitted to the hospital in order to rule out appendicitis, which of the following interventions should the nurse consider? (Select all that apply.)
1) | Reassure the family that a sudden relief from pain related to appendicitis is a good sign. |
2) | Perform light and deep abdominal palpation to assess for pain. |
3) | Assess the child’s last oral intake. |
4) | Prepare the child and family for a surgical appendectomy. |
5) | Maintain NPO status. |
____ 24. GERD can lead to serious medical conditions including which of the following? (Select all that apply.)
1) | Esophageal strictures |
2) | Excessive weight gain |
3) | Crying |
4) | Nissen’s fundoplication |
5) | Pneumonia |
____ 25. Which of the following tests may be used to assist in making the diagnosis of ulcerative colitis? (Select all that apply.)
1) | Hematest of stool |
2) | TSH |
3) | Barium enema |
4) | Colonoscopy |
5) | Esophageal biopsy |
Chapter 34: Child With a Gastrointestinal Condition
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Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer