A nurse is caring for a newborn who may have pyloric stenosis. Which of the following manifestations should the nurse expect?

Presence of dance sign

Always seems full

Projectile vomiting

Excessive weight gain

Answer and Explanation

The Correct Answer is C

A. Presence of Dance sign. – Incorrect. Dance sign (absence of bowel sounds in the right lower quadrant) is associated with intussusception, not pyloric stenosis.

B. Always seems full. – Incorrect. Babies with pyloric stenosis initially feed well but develop progressive vomiting and hunger after feeds.

C. Projectile vomiting. – Correct. Pyloric stenosis causes forceful, non-bilious projectile vomiting due to gastric outlet obstruction.

D. Excessive weight gain. – Incorrect. Infants with pyloric stenosis typically experience weight loss or poor weight gain due to vomiting.

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Correct Answer is B

Explanation

A. Parents are less likely to rely on hospice care services if their child has a terminal illness. – Incorrect. Many parents seek hospice services for support in end-of-life care.

B. Siblings may feel as if they have lost a parent, which can lead to poor mental health. – Correct. Siblings often experience emotional distress due to the shift in parental attention.

C. Most negative feelings regarding losing a child should diminish within a year. – Incorrect. Grief is an ongoing process that does not have a set timeline.

D. Parents who feel hopeful are less equipped to make decisions that limit end-of-life interventions. – Incorrect. Hope can coexist with informed decision-making.

A. Application of scented lotions B. Frequent use of sunscreen C. Identification of triggers D. Use of topical corticosteroids E. Scrubbing of the affected area

Correct Answer is ["B","C","D"]

Explanation

A. Application of scented lotions – Incorrect. Scented lotions can irritate the skin and should be avoided.

B. Frequent use of sunscreen – Correct. Sunscreen prevents irritation from sun exposure, which can worsen symptoms.

C. Identification of triggers – Correct. Avoiding allergens or irritants that trigger flare-ups is a key management strategy.

D. Use of topical corticosteroids – Correct. Topical corticosteroids help reduce inflammation and itching.

E. Scrubbing of the affected area – Incorrect. Scrubbing can further irritate the skin and worsen symptoms.

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A nurse is caring for a newborn who may have pyloric stenosis. Which of the following manifestations should the nurse expect?

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