ATI Nur235 Pediatrics Final Exam | Nurselytic

Questions 64

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ATI Nur235 Pediatrics Final Exam Questions

Extract:

Pediatric client admitted with failure to thrive, spitting up and crying after feedings.


Question 1 of 5

A pediatric client is admitted to the unit with failure to thrive. The mother states that the child has been 'spitting up' and excessively crying immediately after every bottle. What diagnostic test will the nurse anticipate to confirm a diagnosis?

Correct Answer: A

Rationale: The correct answer is A: Upper gastrointestinal series to determine structural abnormalities from gastroesophageal reflux. This diagnostic test is appropriate for a pediatric client with symptoms of spitting up and excessive crying after feeds, suggestive of gastroesophageal reflux (GER). An upper GI series can help identify any structural abnormalities such as hiatal hernia or esophageal strictures that may be causing the symptoms.

Choice B (Biopsy of small intestine mucosa) is not indicated for failure to thrive related to GER.

Choice C (Ultrasound for pyloric stenosis) is not appropriate as pyloric stenosis typically presents with projectile vomiting, not spitting up.

Choice D (Lower gastrointestinal series for intestinal blockage) is not relevant to the symptoms described.

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