A newborn's failure to pass meconium within the first 24 hours after birth may indicate which of the following?
Abdominal wall defect
Celiac disease.
Intussusception
Hirschsprung disease
The Correct Answer is D
A. Abdominal wall defect:
Failure to pass meconium within the first 24 hours after birth can indicate a potential obstruction in the gastrointestinal tract. While an abdominal wall defect could potentially cause gastrointestinal issues, it is not specifically associated with failure to pass meconium.
B. Celiac disease:
Celiac disease is an autoimmune disorder characterized by an abnormal immune response to gluten. While celiac disease can cause gastrointestinal symptoms, such as diarrhea and abdominal pain, it is not typically associated with failure to pass meconium in the newborn period.
C. Intussusception:
Intussusception occurs when one segment of the intestine telescopes into another, causing a bowel obstruction. While intussusception is a cause of bowel obstruction in infants, it typically presents with symptoms such as colicky abdominal pain, vomiting, and the passage of "currant jelly" stool, rather than failure to pass meconium.
D. Hirschsprung disease:
Hirschsprung disease is a congenital condition characterized by the absence of ganglion cells in the distal portion of the colon, leading to functional obstruction. Failure to pass meconium within the first 24 hours after birth is a classic sign of Hirschsprung disease. This condition requires surgical intervention to remove the affected portion of the colon and restore normal bowel function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Baseball games: Participating in baseball games may involve running, jumping, and sudden movements that could potentially strain the surgical area or cause discomfort. It's best to avoid strenuous physical activities like baseball until the child has fully recovered from orchiopexy.
B. Running around the playground: Running around the playground may also involve vigorous physical activity that could potentially affect the surgical site. It's advisable to limit activities that involve running or jumping until the child's healthcare provider gives clearance.
C. Horseback riding: Horseback riding involves sitting on a horse and may put pressure on the groin area, where the surgical site is located. It's generally recommended to avoid activities like horseback riding until the child has fully healed from orchiopexy.
D. Puzzle games: Puzzle games are typically low-impact activities that do not involve physical exertion or strain on the surgical area. Engaging in quiet, seated activities like puzzle games can be suitable for a child who is recovering from orchiopexy and may help keep them entertained during the recovery period.
Correct Answer is A
Explanation
To predict the expected weight of the 12-month-old boy, we can use the general guideline that a child's weight should triple from birth to 12 months.
Given that the boy weighed 8 lb 2 oz at birth, we can calculate the expected weight at 12 months by tripling this weight.
8 lb 2 oz = 8.125 lb
Tripling this weight:
8.125 lb * 3 = 24.375 lb
Now, we convert this weight back to pounds and ounces:
0.375 lb * 16 = 6 oz
So, the expected weight of the 12-month-old boy should be approximately 24 lb 6 oz.
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