A three-year-old child is suspected of having Hirschsprung's disease. Which assessment factors would support such a medical diagnosis?
1. Clay-colored stools and dark urine
2. History of early passage of meconium in the newborn period
3. History of chronic, progressive constipation and failure to gain weight
4. Continual bouts of foul-smelling diarrhea
3
Rationale 1: Clay-colored stools and dark urine are not associated with Hirschsprung's disease.
Rationale 2: The infant with Hirschsprung's disease often has delayed meconium stools.
Rationale 3: These are symptoms of Hirschsprung's disease in an older infant or child.
Rationale 4: Diarrhea is not typical; obstruction is more likely.
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What will be an ideal response?