NUR 122 Peds Test 2-Gastrointestinal & Genitourinary Study Guide Questions And Answers
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Course
NUR 122 Peds -Gastrointestinal & Genitourina
Institution
NUR 122 Peds -Gastrointestinal & Genitourina
NUR 122 Peds Test 2-Gastrointestinal & Genitourinary Study Guide Questions And Answers
Which of the following will the nurse recognize as a major goal of treatment for children with cerebral palsy? - Answer-Promoting a maximum level of independence
/.The nurse is teaching the familiy about ne...
NUR 122 Peds Test 2-Gastrointestinal & Genitourinary
Study Guide Questions And Answers
Which of the following will the nurse recognize as a major goal of treatment for children
with cerebral palsy? - Answer-Promoting a maximum level of independence
/.The nurse is teaching the familiy about nephrotic syndrome and explains the clinical
manifestations are due to which of the following? - Answer-Increased permeability of the
glomeruli
/.A 2 year old is admitted to the neurosurgical unit following a head injury. The nurse is
using the Glasgow Coma Scale to measure neurological functioning. Which of the
following assessment findings indicate the lowest level of functioning for this child? -
Answer-No response to painful stimuli
/.The nurse is caring for a 4-month old infant who has had an isolated cleft lip repair.
What is the best position for the child in the immediate postoperative period? - Answer-
Supine
/.A 2 month old infant is brought to the pediatric clinic. The infant has had vomiting and
diarrhea for 24 hours. The infant is irritable and his anterior fontanel is sunken. Which of
the following will help confirm the diagnosis of dehydration? - Answer-Analysis of serum
electrolytes
/.A nurse is caring for a newborn infant with spina bifida (myelomeningocele) who is
scheduled for surgical closure of the sac. In the preoperative period, the priority nursing
diagnosis would be: - Answer-Risk for infection
/.A nurse is caring for a child recently diagnosed with cerebral palsy and the parents of
the child ask the nurse about their disorder. The nurse bases her response on
understanding that cerebral palsy is: - Answer-A chronic disorder characterized by
impaired muscle movement and posture.
/.The nurse is caring for a 4 year old who weighs 15 kg (33lbs). At the end of a 10- hour
period, the nurse notes the urine output to be 150 mL. The nurse determines that the
urinary output for this child during the period is: - Answer-within the expected range of
output---(child normal range is 0.5 to 1ml/kg/hr)
/.Urinary output ranges: - Answer-Check: The normal range for 24-hour urine volume is
800 to 2000 milliliters per day (with a normal fluid intake of about 2 liters per day).
Oliguria is urine output < 500 mL in 24 h (0.5 mL/kg/h) in an adult. Oliguria is urine
output < 1 L in 24 h (1 mL/kg/h) in a child.
/.Calculating urinary output: - Answer-Check: Pediatric Urine Output Calculation. The
expected urine output for an adult is > 0.5mL/kg/hour, so an average adult of 70kg
, would be expected to produce 35-40ml/hour of urine. For children, the expected urine
output is closer to 1ml/kg/hour. The normal urine output for adults is 1 ml/min,
regardless of weight.
/.The predominant signs of or symptoms of hydrocephalus are different in infants as
compared to older children. - Answer-True (due to anterior and posterior fontanels
closures in infants)
/.The nurse is caring for a 14 year old girl with celiac disease. The nurse knows that the
patient understands the diet instructions by ordering which of the following meals? -
Answer-cheese, banana slices, rice cakes and whole milk (must be gluten free)
/.GI differences in a pediatric patient: - Answer-Small stomach capacity (spits up more if
full & fed more often in smaller amts); relaxed cardiac sphincter (When relaxed, a
sphincter allows materials to pass through the opening. When contracted, it closes the
opening.); bowel mvmts several x per day; decreased enzymes (difficulty digest proteins
except for breast milk); belly distention from gas (colicky, gasey); immature liver
(decreased enzymes for digestion); usually health babies, sometimes premies
/.Cardiac sphincter - Answer-circular muscles located where the lower end of the
esophagus joins the stomach. The muscle serves as the valve that contracts to prevent
acid reflux and relaxes to allow food to pass.
/.Assessment guidelines for The Child With a Gastrointestinal Condition: - Answer-
Inspect, auscultate, palpate, percuss, mouth and esophagus, nutrition, stool, family
history
/.Abdomen—inspection - Answer-• Observe the shape of the abdomen.
• Note any abdominal distention. Measure abdominal girth.
• Observe the umbilicus for protrusion.
• Observe for peristaltic waves (visible rhythmic contractions of the intestinal wall
smooth muscle).
• Observe for jaundice, bruising, and increased bleeding.
/.Abdomen—auscultation - Answer-• Auscultate for bowel sounds in all four quadrants
prior to palpation.
/.Abdomen—palpation - Answer-• Palpate the abdomen and note if it is soft or firm.
• Palpate the size of the umbilical ring.
• Does the child complain of pain or tenderness during palpation? Does the infant cry?
• Describe any masses palpated by location, shape, size, and consistency.
• Palpate the liver for size and tenderness.
• Palpate the spleen for size and tenderness.
/.Mouth and esophagus - Answer-• Note the presence of increased oral secretions. •
Note the presence of cleft lip or palate.
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