A nurse is assessing a 6-week-old child for progressive weight loss and projectile vomiting. The nurse suspects pyloric stenosis. What other assessment finding should be expected?

The child accepts a feeding after vomiting

Sausage shaped upper abdominal mass

Jelly- like consistency stools

Severe pain in the abdomen

Answer and Explanation

The Correct Answer is A

A.   Pyloric stenosis typically causes projectile vomiting shortly after feedings. After vomiting, the infant may still appear hungry and may want to feed again. This is because the blockage prevents food from entering the small intestine, causing the infant to feel hungry soon after vomiting.
B.   One of the classic physical findings of pyloric stenosis is a palpable "olive-shaped" mass in the upper abdomen, which is usually located in the right upper quadrant. This mass is the enlarged pyloric muscle.
C.   Jelly-like stools are more characteristic of intussusception, not pyloric stenosis.
D.   While the child may show signs of discomfort or irritability due to hunger, severe pain in the abdomen is not a hallmark of pyloric stenosis.

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Correct Answer is C

Explanation

A. Rotavirus is given earlier in infancy, typically before 8 months of age, and is not a priority at 18 months.
B. Influenza is important but is given seasonally, and the child is not necessarily due for this vaccine at 18 months unless indicated.
C. DTaP is a routine vaccine administered at 18 months as part of the series of childhood immunizations.
D. MMR is given at 12-15 months and again at 4-6 years, so it is not typically prioritized at 18 months if the child has already received it.

A. "Including a variety of fruits, vegetables, whole grains, and lean proteins in your diet is important for your overall health." B. "Fad diets that drastically restrict food groups are effective for long-term weight management." C. "Eating fast food every day is a convenient and nutritious option for busy adolescents." D. "Skipping meals is a good way to lose weight quickly and stay in shape."

Correct Answer is A

Explanation

A. This statement encourages balanced nutrition, promoting overall health with appropriate food choices. It supports long-term healthy eating habits.
B. Fad diets are not effective for long-term weight management and often lead to unhealthy eating patterns.
C. Eating fast food every day is not a nutritious option and is not recommended, even for busy adolescents.
D. Skipping meals can lead to nutrient deficiencies and poor health outcomes, and it is not a healthy way to manage weight.

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A nurse is assessing a 6-week-old child for progressive weight loss and projectile vomiting. The nurse suspects pyloric stenosis. What other assessment finding should be expected?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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