On deep palpation of the infant's abdomen, the NP palpates a 2-cm firm mass in the right upper quadrant (RUQ). This finding is consistent with:
Hirschsprung's disease.
Wilm's tumor.
pyloric stenosis.
intussusception.
The Correct Answer is B
Rationale:
A. Hirschsprung’s disease typically presents with chronic constipation, abdominal distention, and failure to pass meconium, rather than a discrete RUQ mass.
B. Wilm’s tumor is a renal malignancy in children that often presents as a firm, non-tender abdominal mass in the right or left upper quadrant, sometimes noticed by parents or during a routine exam. Care must be taken not to palpate aggressively, as the tumor is fragile and can rupture.
C. Pyloric stenosis usually presents with projectile vomiting and a palpable “olive-like” mass in the right upper quadrant near the epigastrium, but the mass is smaller (~1–2 cm) and associated with gastric outlet obstruction symptoms.
D. Intussusception may present with sausage-shaped abdominal mass and intermittent pain, often in the right lower quadrant, along with currant jelly stools, rather than a firm, fixed RUQ mass.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Lymphadenopathy (swollen inguinal lymph nodes) is a common finding during a primary genital herpes outbreak.
B. Dysuria (painful urination) can occur due to irritation from herpes lesions.
C. Vesicular genital lesions are classic and characteristic of genital herpes.
D. Mucopurulent cervicitis is typically caused by chlamydia or gonorrhea, not genital herpes, and is therefore not consistent with herpes infection.
Correct Answer is B
Explanation
Rationale:
A. Latex condoms can trigger allergic reactions in individuals with latex allergy, so they should be avoided.
B. Synthetic condoms (e.g., polyurethane or polyisoprene) are safe alternatives for individuals with latex allergy and offer STI protection comparable to latex condoms when used correctly.
C. Cervical caps are not effective for preventing STIs and are primarily a contraceptive method for the female partner.
D. Foam spermicide may reduce pregnancy risk but does not reliably protect against STIs and is not a substitute for barrier protection.
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