A nurse is caring for a newborn who may have pyloric stenosis. Which of the following manifestations should the nurse expect?

Presence of Dance sign

Projectile vomiting

Always seems full

Excessive weight gain

Answer and Explanation

The Correct Answer is B

A. Presence of Dance sign. Dance sign (an empty right lower quadrant on palpation) is associated with intussusception, not pyloric stenosis. Pyloric stenosis is characterized by hypertrophy of the pyloric sphincter, leading to gastric outlet obstruction.

B. Projectile vomiting. Forceful, non-bilious projectile vomiting is the hallmark symptom of pyloric stenosis. It occurs due to the narrowing of the pyloric sphincter, preventing stomach contents from passing into the small intestine. Vomiting usually begins around 2 to 6 weeks of age and worsens over time.

C. Always seems full. Infants with pyloric stenosis actually experience hunger and irritability after vomiting because food is not reaching the intestines for digestion and absorption.

D. Excessive weight gain. Instead of gaining weight, infants with pyloric stenosis often experience weight loss or poor weight gain due to repeated vomiting and inadequate nutrient absorption.

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Correct Answer is B

Explanation

A. "My family should use separate serving utensils for gluten-free foods." Cross-contamination is a serious concern for individuals with celiac disease. Using separate utensils and cookware helps prevent exposure to gluten and reduces the risk of intestinal damage.

B. "I can still enjoy oatmeal for breakfast." Regular oats are often contaminated with gluten due to cross-contact with wheat, barley, or rye during processing. Only certified gluten-free oats are considered safe for individuals with celiac disease, but even then, some people may still react due to the protein avenin found in oats.

C. "I need to avoid foods like bread, pasta, and cereal." Many traditional bread, pasta, and cereals contain wheat, barley, or rye, which must be strictly avoided in a gluten-free diet.

D. "I need to check food labels for hidden sources of gluten, like barley and rye." Gluten can be found in processed foods, sauces, seasonings, and even medications. Reading labels carefully is essential for managing celiac disease.

A. "My child should not be involved in their treatment plan.” B. "My child is too young for medication techniques to help with pain." C. “Hospice will provide my child with spiritual and mental health care." D. "We should not discuss the possibility of death with our child."

Correct Answer is C

Explanation

A. "My child should not be involved in their treatment plan." Children, even those who are terminally ill, benefit from age-appropriate involvement in their care. Allowing them to participate in decisions when possible helps reduce anxiety and provides a sense of control.

B. "My child is too young for medication techniques to help with pain." Pain management, including medications and non-pharmacologic methods, is essential for children of all ages. Palliative care ensures comfort, regardless of age.

C. "Hospice will provide my child with spiritual and mental health care." Hospice care addresses the physical, emotional, and spiritual needs of terminally ill children and their families. Counseling, pastoral support, and grief resources are essential components of end-of-life care.

D. "We should not discuss the possibility of death with our child." Open and age-appropriate discussions about death help children understand their condition and process emotions. Avoiding the topic can lead to confusion and increased fear.

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A nurse is caring for a newborn who may have pyloric stenosis. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

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