1. Define the vocabulary terms listed 2. Describe the changes from infancy with the gastrointestinal system 3. Describe the nursing care of a child with infectious diarrhea 4. Discuss two feeding techniques used for the infant with a cleft lip or cleft palate 5. Summarize the needs of a neonate with tracheoesophageal fistula 6. Identify the nursing care for an infant with biliary atresia 7. Describe the home care of an infant with GER 8. Discuss the different nursing care involved in caring for a child with gastroschisis or omphalocele 9. Discuss the nursing care of a child with celiac disease 10. Identify the difference in symptoms for intussuception and Hirschsprung disorders 11. List the symptoms of appendicitis, and discuss necessary modifications in treatment and postoperative nursing care for a school-age child with a ruptured appendix Table 14-1 Modified from James, S., and Ashwill, J. (2007). Nursing care of children: principles & practice. (3rd ed.). St. Louis: Saunders. Breastfeeding is possible for these babies but may require the assistance of a lactation specialist. Infants with cleft lip are usually more successful with breastfeeding than the infant with cleft palate or a cleft lip and cleft palate. Mothers who wish to breastfeed to gain all the benefits from breastfeeding should be supported. Skill 14-1 describes mechanical feeding methods that may be used for infants with both cleft lip and cleft palate. After the infant has established a feeding routine, the infant should be able to complete the feeding in 18 to 30 minutes. An infant who requires a longer feeding period could be working too hard and expending too many calories. This would not promote growth, which is a goal for these infants. It is important for the nurse and the caregiver to remain flexible and patient in feeding these infants. It may require trying several different systems and techniques before the best one is found (Figure 14-2).
Gastrointestinal Disorders
Gastrointestinal System
evolve.elsevier.com/Price/pediatric/
Newborn
10-20 mL
1 week
30-90 mL
2-3 weeks
75-100 mL
1 month
90-150 mL
3 months
150-200 mL
1 year
210-360 mL
2 years
500 mL
Cleft Lip
Treatment and Nursing Care
Feeding Method for Neonates with Cleft Lip, Cleft Palate, or Both.
Gastrointestinal Disorders
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