Which of the following is the initial symptom of hypertrophic pyloric stenosis?
a. nonbilious vomiting starting between the 2nd and 4th week of life
b. cramping and abdominal pain starting around the 3rd day after birth
c. refusal to take the bottle or nurse
d. a high-pitched and unusual cry
A
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A Correct. Nonbilious vomiting starting between the 2nd and 4th week of life is the initial symptom of hypertrophic pyloric stenosis.
B Incorrect. Cramping and abdominal pain starting around the 3rd day after birth is not the initial symptom of hypertrophic pyloric stenosis.
C Incorrect. Refusal to take the bottle or nurse is not the initial symptom of hypertrophic pyloric stenosis. The infant is hungry and wants to be fed again, in spite of feeding and vomiting.
D Incorrect. A high-pitched and unusual cry is not the initial symptom of hypertrophic pyloric stenosis.
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