A newborn has been diagnosed with Hirschsprung's disease. The parents ask the nurse about the symptoms that lead to this diagnosis. The nurse should explain that common symptoms are:
1. Acute diarrhea; dehydration.
2. Failure to pass meconium; abdominal distention.
3. Currant jelly, gelatinous stools; pain.
4. Projectile vomiting; altered electrolytes.
2
Rationale:
1. Acute diarrhea and dehydration are symptoms characteristic of gastroenteritis.
2. Hirschsprung's disease is the absence of autonomic parasympathetic ganglion cells in the colon, which prevents peristalsis at that portion of the intestine. In newborns, the symptoms include abdominal distention and failure to pass meconium.
3. Currant jelly, gelatinous stools, and pain are symptoms of intussusception.
4. Projectile vomiting and altered electrolytes are symptoms of pyloric stenosis.
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