GI Assignment-Spring 2021
Please make sure to read the Chapters 4,7 & 8 in Kenner & Lott
First section will be the questions like you have answered in the past. Please make sure to answer the questions in one to two paragraphs.
Make sure to include the question with your answers
Reference at the end of the assignment
First Section
1.You are caring for a premature baby in the NICU. Your NICU team is rounding on your baby. The baby was born at 28 6/7 weeks and is now 33 weeks. The mother has been asking when the baby will start oral feeding by a nipple. Describe the stages of sucking and swallowing in detail and what gestational age is used as a landmark to start feedings?
2.What are the 3 cardinal signs of GI obstruction in a newborn in a postnatal assessment?
3.You are carrying for a preterm infant that has developed a full, tense abdomen. The abdominal girth measures 4cm increase since yesterday. The bowel sounds are hypoactive. There are visible bowel loops that can be seen. The physician is worried about a perforation of the bowel. The physician would be requesting this test looking for
free air in the peritoneal cavity? And how is this test completed?
4.You are checking for physician orders and the doctor has ordered an Apt test? What is this test, what is the doctor looking for and how are the result reported?
5.Why is Gastric Decompression used and how it this done?
6.What is Necrotizing Enterocolitis (NEC)? Describe in detail, including assessment, risk factors, & diagnosis. What & Why would surgical interventions be used in NEC?
7.PAIN Pain is real, yes even in the NICU. Choose a pain scale on page 278, include the pain scale in you answer and analyze the scale, including if you agree it would work for a baby.
—GI Assignment for the Spring of 2021
Please take the time to read Chapters 4, 7, and 8 of Kenner and Lott’s book.
The first segment will consist of questions similar to those you have already answered in the past. Please keep your responses to the questions to one or two paragraphs in length.
Include the question in your responses to ensure that they are complete.
At the end of the assignment, you will find a reference.
Section One: Introduction
1.You are responsible for the care of a preterm newborn in the NICU. Your baby’s NICU team is on its way to see him or her. The baby was delivered at 28 6/7 weeks and is currently at 33 weeks of pregnancy. The mother has been inquiring as to when the infant will be able to feed himself or herself through a nipple. Explain in detail the stages of sucking and swallowing, as well as the gestational age that is used as a reference point for when to begin feedings.
2.In a postnatal assessment, what are the three most important symptoms of gastrointestinal blockage in a newborn?
Your pregnancy is being complicated by the presence of a premature infant with a large, tense abdomen. Since yesterday, there has been a 4cm increase in abdominal circumference. It is hypoactive in terms of the bowel noises. There are clearly visible bowel loops that can be seen in this image. The doctor is concerned about the possibility of a perforation of the bowel. The physician would order this test in order to determine whether there is any free air in the peritoneal cavity. And how does this examination come to a close?
4.You are looking for physician instructions, and you discover that the doctor has ordered an Apt test, what now? What is the purpose of this test, what does the doctor look for, and how is the result communicated?
Five. Why is Gastric Decompression used, and how is it carried out?
6.What is Necrotizing Enterocolitis (NEC) and how does it manifest itself? Please provide specifics such as an Assessment of the patient’s risk factors and diagnosis. What are surgical procedures in NEC and why would they be used?
7.PAIN Pain is real, even in the NICU, believe it or not. Choose a pain scale from page 278, include the pain scale in your answer, and examine the scale, including whether or not you believe it would be effective for a child in need of pain relief.
