Gastrointestinal Disorders Flashcards
Describe feeding techniques for a child with cleft lip or palate
Use lamb’s nipple or prosthesis. Feed child upright, with frequent bubbling.
List the signs and symptoms of esophageal atresia (absence or abnormal narrowing of an opening or passage in the body) with TEF
Choking, coughing, cyanosis, and excess salivation
What nursing actions are initiated for the newborn with suspected esophageal atresia with TEF?
Maintain NPO immediately, and suction secretions
Describe the postoperative nursing care for an infant with pyloric stenosis
Maintain IV hydration, and provide small, frequent oral feedings of glucose or electrolyte solutions or both within 4 to 6 hours. Gradually increase to full-strength formula. Position infant on right side in semi-Fowler position after feeding.
Describe why a barium enema is used to treat intussusception
A barium enema reduces the telescoping of the intestine through hydrostatic pressure without surgical intervention
Describe the preoperative nursing care for a child with Hirschsprung disease
Check vital signs and take axillary temperatures. Provide bowel cleansing program, and teach about colostomy. Observe for bowel perforation; measure abdominal girth.
What care is needed for a child with a temporary colostomy?
Family needs education about skin care and appliances. Referral to an enterostomal therapist is appropriate.
What are the signs of anorectal malformation?
A newborn who does not pass meconium within 24 hours; meconium appearing through a fistula or in the urine; an unusual-appearing anal dimple.
What are the priorities for a child undergoing abdominal surgery?
Maintain fluid balance (I&O, nasogastric suction, monitor electrolytes); monitor vital signs; care for drains, if present; assess bowel function; prevent infection of incisional area and other postoperative complications; and support child and family with appropriate teaching.
