Pediatric Primary Care: Chapter 40: Gastrointestinal
Disorders With Questions And 100% SURE ANSWERS
Terms in this set (16)
The parent of an infant experiencing colic asks ANS: D
about using a probiotic medication. What will the While small studies have shown promise in treating colic in infants, the research is contradictory
primary care pediatric nurse practitioner tell this and there is no conclusive evidence about effectiveness. There is no evidence that probiotics are
parent? not safe.
a. Probiotic medications have demonstrated
efficacy in treating colic.
b. Probiotics are not safe to use to treat infants
who have colic.
c. There are no studies showing usefulness of
probiotics to manage colic.
d. There is no conclusive evidence about using
probiotics to treat colic.
, A toddler who was born prematurely refuses most ANS: D
solid foods and has poor weight gain. A barium A videofluoroscopy swallowing study will evaluate other structural defects that may interfere with
swallow study reveals a normal esophagus. What swallowing and is relatively non-invasive. A dietician consult may be a part of the overall plan, but
will the primary care pediatric nurse practitioner the toddler first needs a thorough evaluation of potential problems. Fiberoptic endoscopy is
consider next to manage this child's nutritional invasive. MRI may be performed if videofluoroscopy is inconclusive, but this is an expensive test.
needs?
a. Consultation with a dietician
b. Fiberoptic endoscopy evaluation
c. Magnetic resonance imaging
d. Videofluoroscopy swallowing study
A toddler is seen in the clinic after a 2-day history ANS: D
of intermittent vomiting and diarrhea. An This child has mild to moderate dehydration, according to vital signs and symptoms, and may be
assessment reveals an irritable child with dry managed with oral rehydration solution with good follow-up. Anti-diarrheal medications are
mucous membranes, 3-second capillary refill, 2- generally not useful, but antiemetics may be used. It is not necessary to administer IV fluids or to
second recoil of skin, mild tachycardia and hospitalize unless more severe dehydration occurs.
tachypnea, and cool hands and feet. The child has
had two wet diapers in the past 24 hours. What
will the primary care pediatric nurse practitioner
recommend?
a. Anti-diarrheal medication and clear fluids for 24
hours
b. Bolus of IV normal saline in the clinic until
improvement
c. Hospital admission for IV rehydration and oral
fluids
d. Oral rehydration solution with follow-up in 24
hours
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