Chapter 37: Alterations of Digestive Function in Children

Chapter 37: Alterations of Digestive Function in Children The family learns that a 3D ultrasound of a 9-week fetus shows incomplete fusion of the nasomedial process. What is this defect commonly called? a. Cleft lip b. Nasal passage atresia c.Esophageal atresia d. Lack of dentition ANS: A Cleft lip, not nasal passage atresia, occurs when there is lack of or incomplete fusion of the nasomedial or intermaxillary process. In esophageal atresia, the esophagus ends in a blind pouch. Lack of dentition is not due to incomplete fusion of the processes. REF: p. 950 2. What term is used to document the condition that exists when the esophagus ends in a blind pouch? a. Esophageal atresia b. Tracheoesophageal stenosis c. Esophagitis d. Pyloric stenosis ANS: A When the esophagus ends in a blind pouch, the condition is referred to as esophageal atresia; the trachea is not involved. Esophagitis is inflammation of the esophagus. Pyloric stenosis is a narrowing of the connection between the stomach and the duodenum. REF: p. 951 3. Which condition should the nurse assess for in mothers carrying fetuses affected by esophageal malformations? a. Enlarged placentas b. Excessive amniotic fluid c. Short umbilical cords d. Foul-smelling vaginal discharge ANS: B Polyhydramnios (excessive amniotic fluid) is reported to occur in mothers of affected infants because of alterations in fetal swallowing. Esophageal malformations are not associated with enlarged placentas, short umbilical cords, or vaginal discharge.