Term
| Describe feeding technique for a child with clept lip or palate. |
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Definition
| Use lamb's nipple or prosthesis. Feed child upright, with frequent bubbling |
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Term
| List s/s of esophageal atresia with TEF. |
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Definition
| Choking, coughing, cyanosis, excess salivation |
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Term
| What nursing actions are initiated for the Newborn with suspected esophageal atresia with TEF? |
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Definition
| Maintain NPO immediately and suction secretions |
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Term
| Describe the postoperative nursing care for an infant with pyloric stenosis. |
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Definition
| Maintain IV hydration and provide small, frequent oral feedings of glucose or electrolyte solutions or both within 4-6hrs. Gradually increase to full-strength formula. Position infant on right side in semi-fowlers position after feeding |
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Term
| Describe why a barium enema is used to treat intussusception. |
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Definition
| Reduces the telescoping of the intestine through hydrostatic pressure without surgical intervention |
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Term
| Describe the pre-op nursing care for a child with Hirschsprung Disease. |
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Definition
| Check VS and take axillary temperatures, provide bowel clearnsing program and teach about colostomy. Observe for bowel perforation, measure abdominal girth |
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Term
| What care is needed for a child with a temporary colostomy? |
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Definition
| Family needs education about skin care and appliances. Referral to an enterostomal therapist is appropriate |
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Term
| What are the signs of anorectal malformations? |
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Definition
| a newborn that does not pass meconium without 24 hours. meconium appearing through a fistula or in the urine; an unusual-appearing anal dimple |
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Term
| What are the priorities for a child undergoing abdominal surgery? |
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Definition
| Maintain fld balance (I&O, NG suction, monitor electrolytes) monitor VS care for drains if present; assess bowel function, prevent infection of incisional area and other post op complications and support child/family with appropriate teaching |
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