Peds Exam 4 with Questions and Answers, Exams of Pediatrics

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Which of the following assessment findings would the nurse most expect to find in the child who has been diagnosed with having hypertrophic pyloric stenosis? A) Currant jelly stools and a palpable, hard mass in the right upper quadrant B) Projectile vomiting and hunger soon afterwards C) Weight loss and bloody diarrhea D) Severe, crampy abdominal pain and lethargy Answer: B. Pyloric stenosis ts where the pylorus becomes edematous and large blocking the entrance out of the stomach. Projectile (forceful vomiting) and hunger afterwards would be expected in pyloric stenosis, as all nutrition is being blocked from heading into the small intestine. Other symptoms include a palpable mass in the right upper quadrant, weight loss, dehydration, and lethargy. Currant jelly stools and diarrhea would not be expected with this disorder because of the blockage created. When planning care for the infant diagnosed with cleft lip and palate, which action would the nurse take in relation to the priority nursing diagnosis for this child? A) Prevent the baby from vigorously crying B) Burp the baby well throughout feedings C) Temporarily refrain from having the baby breastfeed D) Encourage mother to use false palate covering when feeding baby Answer: D. A [alse palale covering will help prevent the baby [rom aspirating while breastleeding by providing a covering for the cleft palate. Adaptive nipples can also be used for this purpose.