The mother of a newborn asks the nurse why the infant has to nurse so frequently. Which is the best response?

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NCLEX Pediatric Gastrointestinal Practice Questions Questions

Question 1 of 5

The mother of a newborn asks the nurse why the infant has to nurse so frequently. Which is the best response?

A. Formula tends to be more calorically dense, and formula-fed babies require fewer feedings than breastfed babies. B. The newborn's stomach capacity is small, and peristalsis is rapid, necessitating frequent small feedings. C. The newborn's stomach capacity is small, and peristalsis is more rapid than in older children. D. Breastfed babies tend to take longer to complete a feeding than formula-fed babies.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The nurse is caring for a 5-month-old infant diagnosed with intussusception. The infant has periods of irritability with the knees drawn to the chest alternating with periods of lethargy; vital signs are stable. The physician elects to give an enema. The parents ask the purpose of the enema. Select the nurse's most appropriate response.

A. The enema will confirm the diagnosis. If the test result is positive, your child will need to have surgery to correct the intussusception. B. The enema will confirm the diagnosis. Although very unlikely, the enema may also help fix the intussusception so that your child will not immediately need surgery. C. The enema will help confirm the diagnosis and has a good chance of reducing the intussusception. D. The enema will help confirm the diagnosis and may temporarily fix the intussusception. If the bowel returns to normal, there is a strong likelihood that the intussusception will recur.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The nurse is caring for a newborn who has just been diagnosed with tracheoesophageal fistula and is scheduled for surgery. Which should the nurse expect to do in the pre-operative period?

A. Keep the child in a monitored crib, obtain frequent vital signs, and allow the parents to visit but not hold their infant. B. Administer intravenous fluids and antibiotics. C. Place the infant on 100% oxygen via a non-rebreather mask. D. Have the mother feed the infant slowly in a monitored area, stopping all feedings 4 to 6 hours before surgery.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

The nurse is caring for an 8-week-old male who has just been diagnosed with Hirschsprung disease. The parents ask what they should expect. Select the nurse's best response.

A. It is really an easy disease to manage. Most children are placed on stool softeners to help with constipation until it resolves. B. A permanent stool diversion, called a colostomy, will be placed by the surgeon to bypass the narrowed area. C. Daily bowel irrigations will help your child maintain regular bowel habits. D. Although your child will require surgery, there are different ways to manage the disease depending on how much of the bowel is involved.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The nurse is caring for an infant with pyloric stenosis. The parent asks if any future children will likely have pyloric stenosis. Select the nurse's best response.

A. You seem worried; would you like to discuss your concerns? B. It is very rare for a family to have more than one child with pyloric stenosis. C. Pyloric stenosis can run in families and is more common among males. D. Although there can be a genetic link, it is very unusual for girls to have pyloric stenosis.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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