A pediatrician diagnoses gastroesophageal reflux (GER) in an infant. Which information will the nurse provide during the teaching session to the infant's parents? (Select all that apply.)
A.
Causes the infant to refuse feedings because of discomfort
B.
Includes the return of gastric contents from the stomach
C.
Includes symptoms such as vomiting and regurgitation
D.
Results in an infant who is often fussy and irritable
E.
Usual treatment is a Nissen fundoplication
ANS: A, B, C, D
GER is the return of gastric contents from the stomach through the lower esophageal sphincter into the esophagus. This may be "silent" or accompanied by vomiting or regurgitation. Often this is associated with apnea, congestion, irritability, or food aversion. Treatment includes lifestyle changes and/or medication. A Nissen fundoplication is used to treat severe disease or disease that is unresponsive to other treatment options.
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