What should the nurse assess in an infant who has been diagnosed with hypertrophic pyloric stenosis?
a. A history of diarrhea following each feeding
b. Gastric pain evidenced by vigorous crying
c. Poor appetite due to a poor sucking reflex
d. An olive-shaped mass right of the midline
ANS: D
Examination of the abdomen may assist in the diagnosis and reveal key signs of hypertrophic pyloric stenosis. Visible peristaltic waves that move from left to right across the epigastric region may be evident, and palpation may reveal an olive-shaped mass in this area to the right of the midline.
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