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
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.
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Related Questions
Correct Answer is C
Explanation
A. Talk to the infant in a special way every day: While it is important to talk to the infant and engage with them, the emphasis should be on consistency, regular interaction, communication and responsiveness rather than just speaking in a special way.
B. Keep the infant stimulated with many toys: While providing toys for stimulation is helpful, the most critical aspect of development during the first year is emotional connection and security, which comes from consistent, responsive caregiving, not from many toys.
C. Respond to the infant consistently: Consistency in responding to the infant's needs fosters a sense of security and trust. It helps the infant develop a healthy attachment, which is a crucial developmental task in the first year.
D. Expose the infant to many caregivers to help the infant learn variability: Too many caregivers can lead to insecurity and confusion. It is important for infants to have stable, consistent caregivers in their early years to build trust and attachment.
Correct Answer is A
Explanation
A. "Many pregnant individuals feel this way during the first trimester": This response is appropriate as it normalizes the client's feelings, acknowledging that uncertainty and mixed emotions are common in early pregnancy.
B. "Do not worry. Once you hold this baby, everything will be fine": This response dismisses the client's emotions and assumes a future outcome without offering support or validating their current feelings.
C. "We can refer you to a clinic for potential termination if you desire": While providing options is important, suggesting termination too soon may overwhelm the client without fully understanding their emotional needs.
D. "You will become excited and happy when you feel the baby move": This response assumes the client's future emotional state and does not allow space for the client to process their feelings at their own pace.
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