A 6-week-old infant is diagnosed with pyloric stenosis. When taking a health history from the parent, which symptom would the nurse expect to hear described?

Vomiting about 2 hours after feeding

Vomiting immediately after feeding

Chronic diarrhea

Refusal to eat

Answer and Explanation

The Correct Answer is B

A. Vomiting about 2 hours after feeding: Vomiting in pyloric stenosis typically occurs shortly after feeding, not hours later. This is due to the obstruction at the pylorus that prevents food from moving from the stomach to the small intestine.

B. Vomiting immediately after feeding: Infants with pyloric stenosis often experience forceful, projectile vomiting immediately after feeding. This is due to the narrowing of the pyloric valve, causing food to back up in the stomach and be expelled forcefully.

C. Chronic diarrhea: Diarrhea is not a typical symptom of pyloric stenosis. The condition primarily causes vomiting due to the obstruction at the pylorus, not changes in bowel movements.

D. Refusal to eat: While infants with pyloric stenosis may be irritable and uncomfortable due to vomiting, they usually continue to have a strong appetite and may want to eat frequently despite the vomiting, as they are not absorbing nutrients properly. Refusal to eat is not a hallmark symptom.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Darkened, enlarged breast areola: During the first trimester of pregnancy, hormonal changes cause the areolas to darken and enlarge. This is a common and normal finding as the body prepares for breastfeeding.

B. Deeply fissured nipples: Fissured or cracked nipples are not typically observed in the first trimester of pregnancy. This may occur later when the breasts begin to produce milk, especially during breastfeeding.

C. Enlarged axillary lymph nodes: While some mild enlargement of lymph nodes may occur in response to hormonal changes, this is not a typical or significant finding during the first trimester. Any enlarged lymph nodes should be assessed to rule out other conditions.

D. Slack, soft breast tissue: Breast tissue during the first trimester tends to be firm and may feel more tender or swollen due to hormonal changes, rather than slack and soft. This is a normal part of early pregnancy as the body prepares for future lactation.

A. "Your baby is making urine so this is adding to what's in your bladder." B. "Your kidneys now have less cells to filter the fluid that goes through" C. "Your growing uterus is putting pressure on your bladder causing you to go" D. "Your urine is more concentrated now, so you have to go more often"

Correct Answer is C

Explanation

A. "Your baby is making urine so this is adding to what's in your bladder.": While the baby does produce urine, it is not stored in the mother's bladder. The baby’s urine is filtered through the placenta and into the amniotic fluid, not contributing directly to the mother's urinary frequency.

B. "Your kidneys now have less cells to filter the fluid that goes through": Pregnancy increases kidney function. The kidneys filter more blood and produce more urine to accommodate the increased blood volume in the body, but frequent urination is not due to fewer cells.

C. "Your growing uterus is putting pressure on your bladder causing you to go": During early pregnancy, the growing uterus starts to exert pressure on the bladder, which leads to increased frequency of urination. This is a common and normal symptom during pregnancy.

D. "Your urine is more concentrated now, so you have to go more often": Pregnancy does not cause urine to be more concentrated, but rather it increases the volume of urine due to the increased blood volume and kidney function. The frequency is due to pressure on the bladder, not changes in urine concentration.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 6-week-old infant is diagnosed with pyloric stenosis. When taking a health history from the parent, which symptom would the nurse expect to hear described?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client in their first trimester of pregnancy. When assessing the client's breasts, which finding would the nurse likely observe?

Correct Answer is A

Explanation

A client who is 8 weeks pregnant tells the nurse, "I find that I'm always going to the bathroom to urinate." Which response by the nurse would be appropriate?

Correct Answer is C

Explanation

Infants or children receiving antibiotics may develop oral candidiasis (thrush). Which finding suggests that an infant has thrush?

What instructions should the nurse provide to a pregnant client regarding fetal kick counts?

During a previous well-child visit, the nurse reviews the importance of immunizations with the parents. Which outcome indicates that the nurse's instruction to the parents has been effective?

The nurse explains to a client how ultrasound (US) can aid in the assessment of the fetus. Which of the following should the nurse include in the explanation? Drag and drop.

The nurse is educating a newly pregnant client about danger signs in pregnancy. As part of the education session, the nurse would include which of the following items as a reason to call the office immediately?

A pregnant client tells the nurse they have not had any vaccines but wants to be vaccinated so their unborn child is protected against infections. Which vaccine may be administered to this patient?

The best way for an infant's parent to help the child complete the developmental task of the first year is to:

The parents of a 3-month-old ask why their baby will not have an operation to correct a ventricular septal defect (VSD). The nurse's best response is: