NCM 109 LEC FINAL QUIZ 2 c.

Patient verbalizes he is hungry

d. Bowel sounds has returned
INTESTINAL OBSTRUCTIONS
(24/25) 7. Surgical treatment for Hirschsprung’s
disease would include the following,
1. The appropriate position for the baby during EXCEPT:
the post repair of anus phase is: a. NGT insertion for gastric
a. Side-lying decompression
b. Lithotomy b. Anastomosis of the intestines
c. Semi-Fowler’s c. Colostomy
d. Knee chest d. Dissection of the affected colon

2. Which of the following is NOT a clinical 8. How is an intussusception treated?

presentation of intussusception in infants a. All Answers Are Correct
and toddlers? b. Barium Enema
a. Olive-shaped mass on the c. Instillation of water-soluble contrast
abdomen enema
b. Severe intermittent abdominal pain d. Surgery
c. Vomiting
d. Drawing legs toward abdomen 9. PATHOPHYSIOLOGY OF
INTUSSUSCEPTION. Trace the
3. The characteristic stool that a nurse would pathophysiology of Intussusception by
expect to find upon assessment of the infant arranging the following events accordingly
with Hirschsprung’s disease would be: from 1 to 5.
a. Red currant jelly stools
b. Ribbon-like stools Necrosis 4
c. Black tarry stools Compression of arterial blood 2
d. Soft yellowish stools supply
Ischemia 3
4. Condition in which part of the intestine Invagination of a portion of 1
telescopes into another part of the intestine intestine into another
Perforation 5
leading to obstruction.
a. Intussusception
b. Hirschsprung’s disease 10. Hirschsprung’s disease specifically affects
c. Hypertrophic pyloric stenosis the _____ portion of the colon
d. A persistent cloaca a. Duodenum
b. Sigmoid
5. Which of the following signs and symptoms c. Jejunum
a nurse would NOT expect to find upon d. Caecum
assessment in patient diagnosed with
Hirschsprung’s disease? 11. The primary reason for positioning the infant
a. Infant fail to pass meconium by 24 to side lying after anoplasty is to:
hrs. of age a. Prevent anal stenosis
b. Abdominal distention b. Facilitate drainage of secretions
c. Rectum is empty upon rectal exam c. Reduce edema and pressure on
d. Rectum ending in a blind pouch the surgical site
d. Allow adequate expansion of the
6. The most important factor that the doctor lungs
would consider that the diet will be resumed
after abdominal surgery is that: 12. To determine the type of imperforate anus,
a. Patient has recovered from the the nurse would prepare the patient for
effects of anesthesia which of the following tests?
b. IV fluid is already consumed.
 a. Barium swallow d. Gastrostomy and anastomosis of the
b. Ultrasonography intestines
c. Stool exam
d. Echocardiography 18. The mother was instructed to perform anal
dilatation to achieve and maintain bowel
13. In preparing the infant for the dissection and patency. She learned that the dilator is
removal of the affected section of the colon, inserted not more than:
the nurse should assist in emptying the a. 7 to 8 cm
bowel by: (red flag) b. 3 to 4 cm
a. Giving high fiber foods c. 1 to 2 cm
b. Administering rectal suppository d. 5 to 6 cm
c. Giving repeated enemas
d. All of the above 19. Imperforate anus is also associated with the
following congenital anomalies, EXCEPT:
14. Imperforate anus is a congenital defect in a. Vertebral anomalies
which a problem exist in the opening of the b. Cleft lip and cleft palate
anus. A high lesion of anorectal c. Tracheoesophageal fistula
malformation is described as: d. Anal atresia
a. The rectum, vagina and urinary tract
are joined into a are joined into a 20. Hirschsprung’s disease is also called:
single channel. a. Intussusception
b. Anus is missing, with the rectum b. Ganglionic megacolon
ending in a blind pouch. c. Aganglionic megacolon
c. There is a stenosis of the anus d. Meckel’s diverticulum
d. The colon is up in the pelvis and
there …

15. Hirschsprung’s disease is caused by:

a. Telescoping of one portion of the
intestine into another.
b. Twisting of a portion of a small
intestine
c. Absence of ganglionic innervation
to the muscles of a section of
sigmoid colon
d. Absence of ganglionic muscles at
the rectum and the anus

16. EARLY symptoms of intussusception

include the following, EXCEPT:
a. Bile-stained vomitus
b. Pulling legs to the chest area
c. Nausea
d. Red-currant jelly

17. Surgical treatment for imperforate anus

would include:
a. Dissection of the affected colon and
colostomy
b. Perineal anoplasty and Colostomy
c. Pyloroplasty and gastrostomy
NCM 109 LEC FINAL QUIZ 3 d. Omphalocele
DISORDERS OF THE NERVOUS SYSTEM
7. Normal amount of CSF produced/day
(23/25) a. 800 ml
b. 1,000 ml
1. What is the goal of treatment for c. 1,500 ml
hydrocephalus? d. 500 ml
a. Prevent brain damage by
improving the flow of CSF 8. Position of the infant after surgical repair of
b. Assess feeding and sucking reflex the meningomyelocele
c. Isolate the patient to prevent spread a. Supine
of infection b. Prone
d. Measure the head circumference c. Semi-Fowler’s
daily d. Trendelenburg

2. This type of spina bifida often results in the 9. Prior to surgery for a myelomeningocele,
most severe complication such as paralysis. the nurse would place the baby on which of
a. Meningocele the following position?
b. Encephalomeningoceles a. Prone
c. Myelomeningocele b. Dorsal
d. Spina bifida occulta c. Left side
d. Right side
3. A form of spina bifida where a brain tissue
also protrude from the defect. 10. Symptoms of hydrocephalus in infants
a. Meningocele include the following, except:
b. Myelomeningocele a. Separated sutures
c. Spina bifida occulta b. Sleepiness
d. Encephalomeningoceles c. Depressed fontanelles
d. Eyes that appear to gaze downward
4. A form of spina bifida where the spinal cord
protrude through an opening in the spinal 11. A newborn baby is diagnosed with a
column where a sac is formed containing myelomeningocele. The nurse measures
the spinal elements. head circumference daily to assess for the
a. Meningocele development of what complication?
b. Myelomeningocele a. Hydrocephalus
c. Spina bifida occulta b. Meningitis
d. Myelocele c. Hydrocele
d. Bulging fontanele
5. The newborn has myelomeningocele with
the sac intact. The nurse when planning 12. Diagnostic tests to confirm hydrocephalus
care for the baby should primarily focus on include the following, EXCEPT:
potential for: a. CT scan
a. Infection b. Brain scan
b. Decreased cardiac output c. Arteriography
c. Fluid volume deficit d. Amniocentesis
d. Bedsores
13. The most common location in the skull for
6. A type of neural tube defect where the spine an encephalocele to occur is:
fails to close properly is called _______. a. Parietal
(Red flag) b. Temporal
a. Anencephaly c. Occipital
b. Spina bifida d. Frontal
c. Encephalocele
14. The goal of treatment for the patient with interpret as least indicative of increased
hydrocephalus include which of the ICP?
following? (1) Promote normal growth and a. Sleepiness
development; (2) Prevent infections; (3) b. Overriding of sutures
Prevent brain damage; (4) Improve the flow c. Prominent scalp veins
of CSF; (5) Stop the production of CSF; (6) d. Shrill cry
Prevent nerve damage
a. 3 and 4 20. Neural tube defects are associated with
b. 3 and 5 genetic disorders such as:
c. 1 and 2 a. Trisomy 18
d. 4 and 6 b. Trisomy 13
c. Trisomy 10
15. There is no cure for neural tube defects d. Trisomy 15
(NTD’s), but taking ____ supplements
before and during early pregnancy may help 21. If you use transillumination, what will
reduce its occurrence. meningocele be like?
a. Vit. B12 a. Cloudy
b. Folic acid b. Solid mass
c. Ferrous sulfate c. Transparent
d. Vit. C d. Honeycomb appearance

16. Another procedure done to relieve 22. In type 2 Chiari malformation, involves
intracranial pressure due to excessive these 2 brain structures extending into the
production of CSF is called foramen magnum, namely
a. Cranial ultrasound a. Cerebral cortex and medulla
b. Endoscopic third ventriculostomy b. Brain stem and thalamus
c. Blalock Tausig shunt c. Cerebrum and cerebellum
d. Cardiac catheterization d. Brain stem and cerebellum

17. What should be included in the diet of a 23. Can a woman reduce the risk of her baby
pregnant woman to reduce the incidence of having spina bifida?
spina bifida in infants? a. No
a. Folic acid b. Yes
b. Calcium
c. Iodine 24. A form of spina bifida where there may be a
d. Vit. D dimple in the skin, or a birthmark at the
back.
18. A neural tube defect (NTD) that is a. Meningocele
characterized by abnormal openings in the b. Encephalomeningoceles
skull through which the brain tissue c. Myelomeningocele
protrudes. It is associated with d. Spina bifida occulta
hydrocephalus, spina bifida, and
polyhydramnios. 25. Protrusion of brain into fluid filled sac (RED
a. Anencephaly FLAG)
b. Omphalocele a. Anencephaly
c. Meningomyelocele b. Encephalocele
d. Encephalocele c. Meningomyelocele
d. Omphalocele
19. Dayle, 3 mos. Old, was admitted to the
hospital with diagnosis of hydrocephalus.
Which of the following findings would you