A neonate is displaying mottled skin, has a large fontanel and tongue, is lethargic, and is having difficulty feeding. The nurse recognizes that this is most suggestive of which disorder?

The best response for the nurse to give a parent regarding contacting the physician about an
infant with diarrhea is option B. In infants, dehydration can occur quickly, and a decrease in
urine output is an important indicator of fluid imbalance. Not having a wet diaper for 6 hours
can be a sign of inadequate fluid intake or excessive fluid loss, which warrants contacting the
paediatrician for further assessment and guidance.
"Call the doctor immediately if the infant has a temperature greater than 100° F,"in (option
A) is incorrect because it is not directly related to the concern of diarrhea. While a high fever
can be a sign of an underlying infection, it is not the primary concern in this case.
"The paediatrician should be contacted if the infant has two loose stools in an 8-hour
period,” in (option B) is incorrect because it may not necessarily require immediate medical
attention. While increased frequency of stools can be concerning, the absence of urine output
is a more critical indicator of dehydration.
"Notify the paediatrician if the infant naps more than 2 hours," in (option D) is incorrect
because it is unrelated to the concern of diarrhea and dehydration.

Intussusception is a medical condition where a portion of the intestine telescopes into an adjacent section, causing an obstruction. This obstruction can affect the normal passage of stool through the intestine.

In intussusception, the obstructed intestine can lead to the development of blood and mucus within the stool, giving it a characteristic appearance described as "currant jelly." The stool may contain a combination of blood, mucus, and faecal matter, resembling the colour and consistency of currant jelly.

loose, foul-smelling stools in (option) is incorrect because it, is not specific to intussusception and can be associated with various gastrointestinal conditions.

hard stools positive for guaiac in (option C) is incorrect because it, is not typical of intussusception. Hard stools and positive guaiac test results are more commonly associated with constipation or other conditions affecting the lower gastrointestinal tract.

ribbon-like stools, in (option D) is incorrect because it may be seen in conditions like colorectal cancer or other obstructive disorders. However, it is not a specific characteristic of intussusception.

In the context of intussusception, the presence of "currant jelly" stools is considered a significant sign and should prompt immediate medical attention. Intussusception is a medical emergency and requires prompt diagnosis and treatment.