A newborn is diagnosed with Hirschsprung disease. Which clinical manifestations found on assessment support this newborn’s diagnosis?

Acute diarrhea; dehydration.

Failure to pass meconium; abdominal distension.

Projectile vomiting; altered electrolytes.

Currant jelly-like gelatinous stools; pain.

Answer and Explanation

The Correct Answer is B

Choice A reason: Acute diarrhea and dehydration are not typical of Hirschsprung disease, which is characterized by bowel obstruction.
Choice B reason: This is the correct choice. Failure to pass meconium within the first 48 hours of life and abdominal distension are classic signs of Hirschsprung disease.
Choice C reason: Projectile vomiting and altered electrolytes could be signs of other conditions but are not specific to Hirschsprung disease.
Choice D reason: Currant jelly-like gelatinous stools and pain are more indicative of intussusception rather than Hirschsprung disease. Hirschsprung disease typically presents with a failure to pass stool and abdominal distension.

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Correct Answer is C

Explanation

Choice A reason: Fracturing a bone through the epiphyseal plate does not put a child at risk for developing Rheumatoid Arthritis, which is an autoimmune condition unrelated to such injuries.

Choice B reason: Permanent nerve damage is not a typical consequence of fracturing the epiphyseal plate, as this injury primarily affects bone growth.

Choice C reason: The epiphyseal plate, or growth plate, is responsible for the longitudinal growth of bones in children and adolescents. Damage to this area can disrupt normal bone growth.

Choice D reason: While severe damage to the epiphyseal plate can potentially halt growth in that bone, it is more common for the growth to be disrupted rather than completely prevented. The extent of the impact depends on the severity of the injury.

A. Allowing parents to hold, touch, and rock the infant without time limits. B. Interviewing parents to determine the cause of the incident. C. Providing mementos such as footprints and blankets. D. Advising parents that an autopsy is not necessary and may worsen the grief process.

Correct Answer is ["A","C"]

Explanation

Choice A reason: Allowing parents to hold, touch, and rock their deceased infant can be a crucial part of the grieving process, offering a personal and intimate way to say goodbye.

Choice B reason: While understanding the cause of the incident is important, it is not considered supportive care; it is more investigative and might not provide immediate comfort to the grieving family.

Choice C reason: Providing mementos like footprints and blankets can serve as tangible memories of the infant, helping parents in their grieving and healing process.

Choice D reason: Advising parents about autopsy decisions is sensitive and should be handled with care; it is not inherently supportive as it may not align with the family's wishes or needs during their time of grief.

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A newborn is diagnosed with Hirschsprung disease. Which clinical manifestations found on assessment support this newborn’s diagnosis?

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Naxlex Comprehensive Predictor Exams

What is the likely result of a child fracturing a bone through a portion of the epiphyseal plate?

Correct Answer is C

Explanation

Which two interventions are considered supportive care for a family whose infant has died from sudden infant death syndrome (SIDS)?

Correct Answer is ["A","C"]

Explanation

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