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WorksheetsPeds Gastrointestinal
Total questions: 27
Worksheet time: 55mins
What is the classic and most common symptom of pyloric stenosis?
Abdominal distention
Difficulty stooling
Projectile vomiting
Irritability
Generally, when does this projectile vomiting occur?
Upon waking in the morning
Immediately after eating
Two to three hours after eating
After drinking
What two interventions does the nurse provide prior to surgery for pyloric stenosis?
Monitor blood pressure
Insert NG tube
Monitor for signs and symptoms of dehydration
Start on clear liquids only
Prior to reintroducing oral fluids and foods following GI surgery in the infant, what is the most critical nursing action?
Administer medications as prescribed
Monitor intake and output
Auscultate for presence of bowel aounds
Assess surgical site.
A child has been diagnosed with rotavirus. What is a hallmark symptom?
Vomiting immediately after eating
Foul-smelling, watery diarrhea
Abdominal pain
Headache
What are indicators of dehydration? Select all that apply.
Less than 6 diapers in 24 hrs
Less than 8 diapers in 24 hours
No urination for 8-12 hours
When would you initiate oral rehydration therapy (ORT)
Chronic diarrhea and/or vomiting
Acute diarrhea and/or vomiting
What is the BRAT diet?
Bread, Rice, Applesauce, Tater tots
Bananas, Rice, Applesauce, Toast
Bread, Rice, Apples, Toast
How many hours after starting oral rehydration therapy (ORT) can you start the BRAT diet?
12
15
24
48
How many hours after starting oral rehydration therapy (ORT) can you slowly reintroduce a regular diet?
12
24
48
72
Identify three anorectal malformations.
Rectal atresia
Imperforate anus
Rectal Stenosis
Rectal peristalsis
The nurse notes the passing of meconium through the vagina on a newborn. This finding is an indication that the child may have which anorectal malformation?
Rectal atresia
Rectal Stenosis
Imperforate Anus
Imperforate fistula
What is defined as the twisting or misplacement of the small or large intestines that cuts off their blood supply?
Malrotation
Volvulus
Intussusception
What is defined as the COMPLETE twisting of the intestine around itself?
Malrotation
Volvulus
Intussusception
Identify two symptoms that are most commonly seen in a malrotation and volvulus.
Clammy skin
Intermittent bilious vomiting
Tachypnea
Tachycardia
Abdominal distention
Identify signs and symptoms of bowel perforation. Select all that apply.
Distended abdomen with decreased bowel sounds
May have rigid abdomen
Acute pain over the perforated area that spreads all over abdomen
Nausea/Vomiting
The nurse is caring for a child that complains of intermittent periumbilical pain, right lower quadrant pain, and has a low-grade fever. The nurse understands these findings are indicative of what diagnosis?
Intussusception
Volvulus
Appendicitis
Meckel's Diverticulum
How long is your window from the onset of pain to the rupture of the appendix?
12- 24 hrs
24 - 36 hrs
36 - 48 hrs
36 - 72 hrs
The nurse is caring for a child who is being evaluated for appendicitis. The nurse asks the child how they would rate their pain. The child rates it at a '0' and says it stopped hurting. Should the nurse be concerned?
No, the pain will come and go with appendicitis
Yes, a relief of pain could indicate a rupture or perforation
No, the child got morphine to help with the pain
Yes, the child could be lying and will need an evaluation by social servcies
The nurse is caring for a child being evaluated for appendicitis and identifies a positive (+) Psoas sign. What does this mean?
The child had pain the right lower quadrant when jumping and landing on heels
The child had pain in the right lower quadrant when it was pressed on and released
The child had pain on passive extension of the right hip
The child had periumbilical pain present.
A child being evaluated for appendicitis complains of pain in the right lower quadrant when jumping and landing on their heels. How should the nurse document this finding?
A negative (-) Psoas sign
A positive (+) heel-drop jarring test
A positive (+) Psoas sign
A negative (-) heel-drop jarring test
Pain that occurs when the right lower quadrant is pressed down is known as rebound pain.
True
False
What is the most reliable way to diagnose appendicitis?
The rebound test
Progression/sequence of symptoms
The Psoas test
An ultrasound and CT scan
The nurse is caring for a child following a cleft lip and palate repair. The nurse identifies the child's O2 sat is hanging around 90%. Which type of oxygen device would be most appropriate for the nurse to use on this child?
Nasal cannula
A laryngeal mask
A face mask
The nurse is caring for an infant who has returned after a cleft lip and palate repair. Which of the following actions would be appropriate for the nurse to take?
Remove the packing in the mouth.
Place the infant in an upright position.
Offer a pacifier with sucrose.
Assess the mouth with a tongue blade.
What are the most common signs and symptoms of a child with an intussusception? Select all that apply.
Acute abdominal pain
Pulling legs up towards abdomen
Red, currant, jelly stools
Vomiting
Tachycardia
Which of the following should the nurse include in a plan of care for an infant with gastroesophageal reflux (GER)? Select all that apply.
Small, frequent meals
Lay flat after meals
Thicken formula with with rice cereal
Avoid foods that cause reflux
