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
Always seems full
Projectile vomiting
Excessive weight gain
The Correct Answer is C
A. Presence of Dance sign. – Incorrect. Dance sign (absence of bowel sounds in the right lower quadrant) is associated with intussusception, not pyloric stenosis.
B. Always seems full. – Incorrect. Babies with pyloric stenosis initially feed well but develop progressive vomiting and hunger after feeds.
C. Projectile vomiting. – Correct. Pyloric stenosis causes forceful, non-bilious projectile vomiting due to gastric outlet obstruction.
D. Excessive weight gain. – Incorrect. Infants with pyloric stenosis typically experience weight loss or poor weight gain due to vomiting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
A. A 4-year-old child who has asthma and a PCO2 of 37 mm Hg. – Incorrect. A PCO2 of 37 mm Hg is within normal limits (35–45 mm Hg), indicating no immediate respiratory distress.
B. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016. – Incorrect. A urine specific gravity of 1.016 is within the normal range (1.005–1.030), suggesting adequate hydration.
C. A 1-year-old toddler who has a temperature of 39°C (102.2°F). – Correct. A high fever in an infant can indicate a serious infection, requiring immediate assessment.
D. A 10-year-old child who has sickle cell anemia who reports severe chest pain. – Correct. Severe chest pain in a child with sickle cell anemia may indicate acute chest syndrome, a life-threatening complication requiring urgent intervention.
Correct Answer is A
Explanation
A. Speech and language acquisition – Correct. A cleft palate can impact speech development due to difficulties in articulation and phonation.
B. Gross motor skill development – Incorrect. Gross motor delays are not commonly associated with cleft palate.
C. Fine motor skill development – Incorrect. Fine motor skills are generally unaffected.
D. Cognitive development – Incorrect. Cognitive abilities are not typically impaired by cleft palate.
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