Question

A parent brings a newborn client to the healthcare provider's office. The newborn is vomiting, has abdominal distention, and is diagnosed with pyloric stenosis. Which characteristic of the newborn's emesis does the nurse expect?

a. Black in appearance
b. Diminished after feedings
c. Projectile and forceful
d. Thick and full of mucus

Answer 1

The newborn's emesis due to pyloric stenosis is expected to be projectile and forceful. Abdominal distention is another symptom associated with this condition, and surgical treatment is often required.

Step-by-step explanation:

The characteristic of the newborn's emesis expected with a diagnosis of pyloric stenosis is projectile and forceful vomiting. Pyloric stenosis is a condition that affects the pyloric valve, which is the gateway between the stomach and the small intestine and can cause severe vomiting after feedings. The emesis related to pyloric stenosis is not typically black, which would suggest gastrointestinal bleeding, nor is it typically diminished after feedings or thick and full of mucus. Instead, it is known for being forceful enough to project out due to the strong contractions produced by the stomach muscles as the stomach attempts to force contents past the narrowed pylorus into the small intestine.

Abdominal distention is also a symptom associated with pyloric stenosis, likely due to the buildup of stomach contents that cannot pass into the intestines readily. Other symptoms can include dehydration and weight loss due to the inability to keep food down. Treatment for pyloric stenosis often involves surgical intervention to widen the pyloric valve, allowing for normal passage of food from the stomach to the intestines.