Nutrition

Question 1

GI focused Assessment

Answer 1

family Hx, surgeries, height, weight, abdomen circumference, hydration status, pain, auscultate, convex/concave abdo.

Question 2

Focused GI assessment Labs

Answer 2

Barium enema, upper GI, serum chem., liver and lipid panels, ESR, C-reactive protein, stool exam, elevated WBC

Question 3

What classifies as failure to thrive?

Answer 3

inadequate calorie intake, calorie absorption, increased metabolism, defective utilization

Question 4

S+S of Failure to thrive?

Answer 4

growth failure, withdrawn, feeding difficulty, avoids eye contact, minimal smiling

Question 5

What is GER?

Answer 5

Gastroesophageal Reflux
regurgitation of gastric contents

Question 6

What are GER complications?

Answer 6

failure to thrive, bleeding, dysphagia

Question 7

GERD?

Answer 7

esophageal tissue damage

Question 8

S+S of GERD?

Answer 8

cannot gain weight, irritable, N, chest pain, tooth erosion, apnea, bronchospasm, pneumonia, wheezing

Question 9

Infant S+S of GER

Answer 9

spit up, vomiting, back arching, irritability, growth failure, resp. probs., apnea, excessive crying, cough

Question 10

Nursing care for GER?

Answer 10

small more frequent feedings, thickened feeds, upright feeds, elevate HOB, NG feeds, burping

Question 11

Medications for GER:

Answer 11

Histamine blockers to decrease acid production (cimetidine, famotidine, nizatidine, ranitidine)
PPI lower acid production (-zole)
Prokinetic agents to help empty stomach (reglan)

Question 12

What is a Nissen Fundoplication

Answer 12

fundus is wrapped around the distal esophagus to create a anti-reflex valve

Question 13

Cleft Lip?

Answer 13

during embryonic dev., problems with feeding, speech, ear infections, dental issues

Question 14

Cleft Palate?

Answer 14

during fetal dev., inability to suck

Question 15

Nursing Considerations for Cleft lip/palate?

Answer 15

45 degree angle for feeds, nipple/bottle type, abdominal distention, monitor for ear infections, delayed tooth eruption, impaired speech

Question 16

When is cleft palate correction normally done?

Answer 16

6-12 months, requires surgeries over 2 years

Question 17

Celiac Disease:

Answer 17

autoimmune reaction to gluten leading to intestinal inflammation, malabsorption
(gliadin)

Question 18

Steatorrhea?

Answer 18

large amount of fat in stools, celiac disease