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.
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