A newborn is diagnosed with Hirschsprung disease. Which clinical manifestations found on assessment support this newborn’s diagnosis?
Acute diarrhea; dehydration.
Failure to pass meconium; abdominal distension.
Projectile vomiting; altered electrolytes.
Currant jelly-like gelatinous stools; pain.
The Correct Answer is B
Choice A reason: Acute diarrhea and dehydration are not typical of Hirschsprung disease, which is characterized by bowel obstruction.
Choice B reason: This is the correct choice. Failure to pass meconium within the first 48 hours of life and abdominal distension are classic signs of Hirschsprung disease.
Choice C reason: Projectile vomiting and altered electrolytes could be signs of other conditions but are not specific to Hirschsprung disease.
Choice D reason: Currant jelly-like gelatinous stools and pain are more indicative of intussusception rather than Hirschsprung disease. Hirschsprung disease typically presents with a failure to pass stool and abdominal distension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Meningitis is not typically associated with ADD/ADHD, making it a correct choice as an exception among the risk factors listed.
Choice B reason: A family history of ADD/ADHD is a known risk factor for these conditions.
Choice C reason: Exposure to environmental toxins is a recognized risk factor for developing ADD/ADHD.
Choice D reason: While gestational diabetes can have various effects on a child's health, it is not a recognized risk factor for ADD/ADHD, making this the correct answer.
Correct Answer is A
Explanation
Choice A reason: School-age children, typically between the ages of 6 and 12, begin to understand the finality of death. They can grasp that death is irreversible and permanent, affecting all living beings.
Choice B reason: Preschool-age children often perceive death as a temporary or reversible state. They may not fully comprehend its permanence until they are older.
Choice C reason: Toddlers are too young to understand complex concepts like the permanence of death. Their cognitive development at this stage is focused on more concrete and immediate experiences.
Choice D reason: By adolescence, individuals have a clear understanding of the permanence of death, but this awareness typically develops during the school-age years. Adolescents may explore more complex ideas about life and death, but the basic understanding of permanence is already established.
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