Chapter 42: Nursing Care of the Child With a Gastrointestinal Disorder

 

1. Ghalib Moghadam, 3 years old, and his family are recent immigrants from Somalia. He has been referred to the local children’s hospital to be seen at the craniofacial clinic for an unrepaired cleft lip and palate. Ghalib’s parents do not have a good understanding of the English language. (Learning Objectives 2, 5, 6, 7, 8, and 10)

a. What would the nurse know to include in the health history of Ghalib?

b. What would the nurse include in the teaching plan for Ghalib and his parents?

c. What resources could the nurse give the parents to help with emotional support?

d. What would be a major challenge in the nursing care of Ghalib and his family?

 

2. Jeanine Webb, 14 days old, is brought to the clinic by her parents for her 2-week check-up. Jeanine’s parents tell the nurse that they believe their little girl has a problem with constipation even though she is breastfed.

Jeanine’s mother tells the nurse that Jeanine did not pass a meconium stool within the first 2 days of life until the staff provided rectal stimulation. The neonate now has a bowel movement approximately once every 3 or 4 days and cries inconsolably when having a bowel movement, and the stool appears to be semiformed. (Learning Objectives 2, 3, 4, 6, 7, 8, and 10)

a. When performing a physical examination on Jeanine, what might the nurse find?

b. What diagnostic tests should the nurse expect to be done on Jeanine?

c. What nursing interventions would the nurse expect to provide to Jeanine and her family?

d. What would be important to include in a teaching plan for Jeanine and her family?

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