A nurse is reinforcing education to parents of an infant who has intussusception. Which of the following statements would the nurse provide to the parents?
"Intussusception results from the twisting of the intestine, causing a blockage in the passage of food."
"Intussusception is a consequence of weakened abdominal muscles, allowing a portion of the intestine to bulge."
"Intussusception occurs when one segment of the intestine slides into another, which can cut off blood supply."
"Intussusception is a congenital condition where the layers of the intestinal wall do not form properly."
The Correct Answer is C
A. Twisting of the intestine describes volvulus, not intussusception.
B. Weakened abdominal muscles and bulging describe hernias, not intussusception.
C. Intussusception occurs when a part of the intestine telescopes into another part, leading to obstruction and potential ischemia.
D. Intussusception is not a congenital defect related to improper intestinal wall formation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
"Can throw a ball overhand"
Expected gross motor skill for a 4-year-old.
"Draw a picture of a person with three body parts"
Reflects typical fine motor and cognitive development for this age.
"Balance on one foot"
Demonstrates appropriate gross motor development for a 4-year-old, who is expected to balance on one foot for a few seconds.
"Engages in pretend play independently and in parallel play with peers"
Normal social and imaginative play for this age, indicating appropriate social-emotional development.
"Gained 2 kg (4.5 lb) and grown 6.2 cm (2.6 inches) since their physical examination 1 year ago"
Reflects typical physical growth for a 4-year-old child.
Correct Answer is D
Explanation
A. Infants typically achieve head control around 4 months of age, not 3 months.
B. The posterior fontanelle usually closes by 2 to 3 months of age, not 1 month.
C. Lymph nodes in infants are usually small and non-tender, and enlarged nodes may indicate infection.
D. The anterior fontanelle generally closes between 12 and 24 months of age.
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