Pediatric Gastrointestinal System

Case Study: Pediatric Gastrointestinal System

Lucy is a 44-day-old formula-fed infant who presents with a 4-day history of vomiting.

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Subjective Data

  1. Mother states infant has been vomiting undigested formula after feedings
  2. Mother states that infant has not had fever or diarrhea
  3. Mother states that infant has had 8 wet diapers in the past 24 hours

Objective Data

  1. Weight 4.8 kg (birth weight 3.5 kg)
  2. Vital signs: T 37.1° C (rectal), P 130, R 30, BP 92/52
  3. Mucous membranes moist, anterior fontanel flat and soft
  4. Awake and alert, lusty cry
  5. Good muscle tone
  6. Olive-sized mass palpated at epigastrium

10. Question 1

What test will be used to diagnose pyloric stenosis?

11. Question 2

What should the nurse do in this clinical situation? Using the case study above, the first prioritization step the nurse would take is ____.

12. Question 3

The second prioritization step the nurse would take is ____.

13. Question 4

The third prioritization step the nurse would take is ____.

14. Question 5

The fourth prioritization step the nurse would take is ____.

15. Question 6

The fifth prioritization step the nurse would take is ____.

16. Question 7

The sixth prioritization step the nurse would take is ____.

17. Question 8

The seventh prioritization step the nurse would take is ____.

18. Question 9

The eighth prioritization step the nurse would take is ____.

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