24 Questions
What is the primary symptom of Hirschsprung Disease in newborns?
Failure to pass meconium in 24-48 hours
What is the treatment for Hirschsprung Disease?
Surgery to remove the impaired part of the colon
What is the definition of Intussusception?
The slipping of one part of the intestine into another part just below it
What is the treatment for Intussusception?
Enema of air guided by X-ray
What is a possible complication of Hirschsprung Disease?
Abdominal distention
What is the purpose of a colostomy?
To bypass a blocked or damaged part of the intestine
What is a sign of Intussusception?
Severe abdominal pain
What is a possible consequence of untreated Intussusception?
Bowel obstruction
What is a characteristic of a child with intussusception?
Projectile vomiting
What is a common sign of dehydration in a child with bowel obstruction?
Inelastic skin
What is the purpose of burping before and during feeding in a child with bowel obstruction?
To relieve gas and discomfort
What position is recommended for a child with bowel obstruction after feeding?
Right side
What is the primary goal of IV hydration in a child with bowel obstruction?
To prevent dehydration
What is a common finding on palpation of a child with intussusception?
An olive-shaped mass in the RUQ
What is the primary treatment for celiac disease?
Gluten-free diet
What is a characteristic of stool in a child with celiac disease?
Smelly and frothy
What is a common finding in the first 24 hours of a newborn with Imperforate Anus?
Abdominal distention
What is the primary goal of preoperative care for a newborn with Imperforate Anus?
Decompression of the stomach with a NG tube
What is a potential complication of Imperforate Anus?
Fistula formation
What is the surgical intervention for Pyloric Stenosis?
Pyloromyotomy
What is a key aspect of postoperative care for a newborn with Imperforate Anus?
Education on colostomy care
What is the primary goal of nursing care for a newborn with Imperforate Anus?
Reporting of meconium passage
What is the typical age range for the appearance of symptoms in Pyloric Stenosis?
2-3 weeks
What is the primary focus of postoperative care for a newborn with Pyloric Stenosis?
Fluid and electrolyte balance
Study Notes
Gastrointestinal Diseases
Hirschsprung Disease
- Absence of ganglionic innervation in a part of the bowel, leading to constipation and abdominal distention
- Failure to pass meconium in 24-48 hours
- Symptoms include vomiting, anorexia, and failure to thrive (FTT)
- Treatment involves surgery to remove the affected part of the bowel
- Nursing care involves detection of symptoms, education on treatment and potential colostomy
Intussusception
- A slipping of one part of the intestine into another part just below it
- Symptoms include severe abdominal pain, vomiting, and colicky pain
- Diagnosis is made using enema of air guided by X-ray
- Treatment involves surgery if enema does not fix the problem
- Nursing care involves reporting symptoms, provision of TPN until healed
Imperforate Anus
- The perforation between the anus and lower GI tract does not happen, ending in a blind pouch
- Symptoms include no meconium in the first 24 hours and abdominal distention
- Treatment involves surgery and potential colostomy
- Nursing care involves reporting symptoms, education on potential colostomy, and pre-op and post-op care
Pyloric Stenosis
- The sphincter from the stomach to the small intestine does not allow for movement
- Symptoms include projectile vomiting, dehydration, and failure to thrive (FTT)
- Treatment involves pyloromyotomy and fluid and electrolyte balance
- Nursing care involves providing small feeds, IV hydration, and post-op care
Celiac Disease
- Inability to digest gluten, leading to failure to thrive (FTT) and malabsorption
- Symptoms include smelly and frothy stool, diarrhea, and weight loss
- Diagnosis is made using gluten testing
- Treatment involves a lifelong gluten-free diet
- Nursing care involves education on gluten-free diet and how to read food labels
This quiz is about Hirschsprung disease, a condition characterized by the absence of ganglionic innervation in a part of the large intestine. It can cause symptoms such as failure to pass meconium in 24-48 hours and abdominal distension. The quiz covers the pathophysiology, signs and symptoms, diagnosis, and treatment of this disease.
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