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A nurse is caring for a 3-day-old newborn and suspects Hirschsprung disease. What finding best supports the nurse's concern?

A.

The infant has passed several tar-like stools.

B.

The infant has not gained weight and has stooled once.

C.

The infant has not stooled.

D.

The infant has passed hard, pellet-like stools.

Answer and Explanation

The Correct Answer is C

A. Passing tar-like stools is normal for newborns within the first few days of life and does not indicate Hirschsprung disease.

B. Limited stooling and poor weight gain may suggest feeding issues but are not as indicative of Hirschsprung disease as the absence of stool.

C. The absence of stool (failure to pass meconium within 24-48 hours) is a classic sign of Hirschsprung disease, a condition where the absence of ganglion cells in the intestines leads to a blockage.

D. Passing hard, pellet-like stools may indicate constipation but is not specific to Hirschsprung disease, especially in a newborn.


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Related Questions

Correct Answer is B

Explanation

. While pain management is important, the primary treatment for pyloric stenosis is surgical correction, not just analgesic medication.

B. Preparation for surgical correction, specifically a pyloromyotomy, is the standard treatment for pyloric stenosis to relieve the obstruction.

C. A barium enema is not used in the diagnosis or treatment of pyloric stenosis; it is typically used to diagnose other gastrointestinal conditions.

D. Thickened feedings with rice cereal are not indicated for pyloric stenosis and would not resolve the obstruction.

Correct Answer is B

Explanation

A. Granola often contains gluten, so this meal would not be suitable for someone with celiac disease.

B. Cheese, banana slices, rice cakes, and whole milk are gluten-free and appropriate for a child with celiac disease.

C. Rye toast contains gluten, which is contraindicated for someone with celiac disease.

D. Flour tortillas generally contain gluten, so this meal is not appropriate for someone with celiac disease.

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