Pediatric Gastrointestinal

Question 1

____ ____ a congenital abnormality - there is a split or gap in the hard palate.

Answer 1

cleft palate

Question 2

with cleft patients you need to monitor ___ ___ and ____ patency.

Answer 2

monitor respiratory status and airway patency

Question 3

Cleft lip is surgically corrected at __ to ___months of age.

Answer 3

3-6 (b/c of speech)

Question 4

Cleft palate is surgically corrected at __ to ___ months of age.

Answer 4

6-24

Question 5

Post-op (Cleft PALATE) patients should be ___ position.

Answer 5

prone position (to help drain)

Question 6

Cleft lip should NOT be ___ as this could disturb the suture line.

Answer 6

prone

Question 7

You can use ___ ___ to avoid toddler putting things in the mouth.

Answer 7

elbow restraints

Question 8

post-op CLEFT patients NO ___ or ___ suctioning.

Answer 8

oral or nasal suctioning

Question 9

When feeding the baby should be in an ___ position. (cleft)

Answer 9

upright (avoid aspiration)

Question 10

(cleft) patients should have ___ ___ feedings.

Answer 10

small frequent feedings

Question 11

____ is an opening between the trachea and the esophagus.

Answer 11

TEF Tracheoesophageal fistula

Question 12

____ ____ part of the esophagus doesn’t form

Answer 12

esophageal atresia

Question 13

With esophageal atresia food isn’t going to the ____.

Answer 13

stomach

Question 14

Some assessments you will see in a patient with (TEF or esophageal atresia) (3)

Answer 14

1. choking
2. coughing
3. cyanosis

Question 15

With pyloric stenosis food is ___ in the stomach.

Answer 15

trapped

Question 15

TEF / esophageal artresia should be ____ pre-op.

Answer 15

NPO

Question 16

____ ___ is hypertrophy of the circular muscle fibers of the pylorus. With a severe ____ of the lumen.

Answer 16

pyloric stenosis / severe narrowing of the lumen

Question 17

Patients with pyloric stenosis have ___ - ____ and ____ vomiting.

Answer 17

non-bilious & projectile vomiting

Question 18

Patients with pyloric stenosis will vomit ___ ___.

Answer 18

after feeding

Question 19

Patients with pyloric stenosis have a ____ pylorus.

Answer 19

palpable pylorus

Question 20

_____ the abdominal contents protrude through the umbilicus while remaining in the peritoneal sac.

Answer 20

Omphalocele

Question 20

What is the tx for pyloric stenosis? (3)

Answer 20

1. correct dehydration
2. pyloromyotomy
3. nutrition after surgery

Question 21

Some patients with omphacele have ___ / ___ defects.

Answer 21

cardiac / lung

Question 22

What are 3 complications of omphacele?

Answer 22

1. hypothermia
2. dehydration
3. sepsis

Question 23

_____ occurs when one part of the intestine slips inside the other intestine.

Answer 23

intussusception

Question 24

Pre-op management of omphacele is to keep the exposed intestines ___, & cover with ____ ___ soaked in saline.

Answer 24

moist / sterile gauze

Question 25

____ ____ are small volumes of milk given to stimulate the bowel which are maintained for up to 7 days and not intended to contribute to nutrition.

Answer 25

trophic feeds

Question 26

A key assessment you see in intusscpetion is ___ ____ __ stools.

Answer 26

red currant jelly stools

Question 27

Patients with intussception have ____ abdominal pain.

Answer 27

cyclical abdominal pain

Question 28

Patients with intussception have a ___ shaped mass in the abdomen.

Answer 28

sausage shaped

Question 29

How are patients with intusseption treated?

Answer 29

enema - to attempt to push the intestine back out. If successful a surgical repair is needed.

Question 30

____ is a congenital megacolon.

Answer 30

Hirschsprung’s

Question 31

Patients with hirschprungs don’t have neurons so they have no ____.

Answer 31

peristalsis

Question 32

In hurschsprungs stool will build up and cause a ____.

Answer 32

megacolon

Question 33

Patients with hirschsprungs will have a ___ like stool.

Answer 33

ribbon like stool

Question 34

Patients with hirschsprungs vomit a ___ or ___ substance.

Answer 34

green or brown substance

Question 35

You will see a delayed passage of ____ in patients with Hirschsprung’s.

Answer 35

meconium

Question 36

The main surgical procedure performed for Hirschsprung’s disease is called ___ - ____ or ____ procedure.

Answer 36

pull-through or soave

Question 37

What is the surgical intervention for hirschprungs aim?

Answer 37

to remove the affected portion of the colon (large-intestine) that lacks nerve cells responsible for peristalsis

Question 38

Which pediatric GI symptom has no mass?

Answer 38

Hirschsprungs

Question 39

Which GI symptom has no specific stool symptom?

Answer 39

Pyloric Stenosis