The nurse is providing care to a newborn client who presents in the pediatric clinic for a 2-week health maintenance visit. The parents of the newborn are concerned, as their baby has "gas all the time." Which responses from the nurse are appropriate? Select all that apply
1. "Your baby has a relaxed lower esophageal sphincter, which is causing the gas."
2. "Your baby lacks the enzyme amylase, which is causing the gas."
3. "Your baby lacks the enzyme insulin, which is causing the gas."
4. "Your baby has an immature liver, which is causing the gas."
5. "Your baby lacks an enzyme that helps to digest fats, which is causing the gas."
2, 5
Explanation:
1. Newborns and infants do have a relaxed lower esophageal sphincter; however, this is not responsible for gas but for frequent regurgitation of small amounts of oral feedings.
2. Newborns and infants lack several enzymes that assist with the digestive process. One of these enzymes is amylase, which assists with carbohydrate digestion. The lack of this enzyme causes abdominal distention due to gas.
3. Insulin is not an enzyme and is not lacking in the newborn.
4. While newborns and infants do have immature livers, that is not what is causing the gas.
5. Lipase is a digestive enzyme that assists in fat digestion. Infants and newborns do lack this enzyme, which would cause abdominal distention due to gas.
You might also like to view...
A female patient who takes ethosuximide for the treatment of absence seizures calls the clinic to report that she has developed a sore throat and a slight fever
The nurse will explain that she should come to the clinic to have which of the following checked? A) Ethosuximide serum level B) Bleeding tendencies C) Blood cell count D) Pulse and blood pressure
The parents of a newborn diagnosed with cri du chat syndrome request information about this disorder. What statements by the nurse are appropriate?
Select all that apply. 1. "Your baby's chromosomal makeup is unbalanced." 2. "These types of genetic problems are often the result of the patient missing some genes or having too much genetic material." 3. "This syndrome is genetically related to trisomy 21." 4. "Your baby's syndrome is the result of a large deletion on the short arm of chromosome 5." 5. "Your baby has the low-set ears and mewing cry that is associated with this syndrome."
The clinic nurse is explaining to Maria, the mother of a 6-month-old child and an 18-month-old infant who are here for regular visits, about lead exposure testing
Appropriate comments from the nurse would include the following: Select all answers that apply: A) Lead testing for children is recommended by the American Academy of Pediatrics. B) About one fourth of all homes occupied by children under the age of six have lead contamination. C) Lead exposure may cause anemia. D) Both of your children will require testing for lead at this time.
Failure of the spermatic cord veins to drain properly can lead to which of the following?
A. Erectile dysfunction B. Varicocele C. Hydrocele D. Hemorrhagic infarction