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Pyloric Stenosis, Celiac Disease, FTT, Hirschprung's Disease

Total questions: 15

Worksheet time: 6mins

Name
Class
Date
1.

A two month old presents with projectile vomiting. Which assessment finding is most indicative of pyloric stenosis?

a)

Lethargy

b)

Constipation

c)

Olive-shaped mass in the abdomen

d)

Watery Stools

2.

Failure to thrive should be assessed in patients with these symptoms:

a)

Tired, increased weight and height

b)

Happy, alert and interactive with family

c)

Poor weight gain and delayed growth and development

d)

Tears when crying, skin pink and warm

3.

What symptoms would most likely alert you, the practical nurse learner, to the possibility of Hirschsprung's disease in a newborn?

a)

Frequent soft stools

b)

Failure to pass meconium in the first 48 hours

c)

Low body temperature

d)

Continuous crying

4.

Following surgical repair for pyloric stenosis, which symptoms could indicate a complication?

a)

Frequent burping

b)

Persistent Vomiting

c)

Normal bowel sounds

d)

Increased appetite

5.

In assessing a toddler with failure to thrive, which observation could indicate a psychosocial cause?

a)

Low muscle tone

b)

Regular, nutritious meals provided by caregiver

c)

Good appetite but minimal weight gain

d)

Minimal interaction with caregiver during meals

6.

The name for the surgery performed to fix and cure pyloric stenosis

(a)  

7.

For a child post-surgery for Hirschsprung's disease, which symptom would require immediate attention?

a)

Mild abdominal pain

b)

Frequent bowel movements

c)

Abdominal distension and fever

d)

Refusal to eat for one meal

8.

If a newborn with pyloric stenosis goes untreated, which consequences is most likely to occur?

a)

Rapid weight gain

b)

Developmental delays due to malnutrition

c)

Increased bowel movements

d)

Improved sleep patterns

9.

Which meal choice would be appropriate for a child with celiac disease?

a)

What toast with scrambled eggs

b)

Barley soup with vegetables

c)

Vegetables and grilled chicken

d)

Pasta with marinara sauce

10.

What is a primary goal in the care plan for an infant with failure to thrice due to a medical cause?

a)


Optimizing nutritional intake and monitoring weight gain

b)

Reducing caloric intake

c)

Increasing physical activity

d)

Avoiding high protein foods

11.

If a child with celiac disease accidently consumes gluten, what symptoms might they exhibit?

a)

Rash and abdominal pain

b)

Increased energy

c)

Sudden weight gain

d)

Decreased appetite

12.

Hirschsprung's Disease is also known as:

a)

Pyloric Stenosis

b)

Diverticulitis

c)

Irritable Bowel Syndrome

d)

Aganglionic Megacolon

13.

As a practical nurse learner, you know that celiac disease is an (a)   disorder

14.

Knowing the treatments for celiac disease, you would suggest the following patient teachings for your celiac patient:

a)

There is a cure and we will refer you to a GI specialist

b)

Gluten will help your digestive system, be sure to have a diet that includes wheat

c)

You don't need to check ingredients in food

d)

Gluten free diet and education about triggers, signs & symptoms and how to manage an exacerbation

15.

As a practical nurse learner, you understand that chronic constipation is a symptom of Hirschsprung's Disease because:

a)

Chronic constipation is due to the lack of nerve cells in the colon decreasing peristalsis

b)

Chronic constipation is unrelated to nerve function in the digestive system

c)

Hirschsprung's Disease leads to increased fluid absorption in the intestines

d)

Chronic constipation is caused by excessive nerve cells in the colon