Unformatted text preview: bsequent metabolic alkalosis. Metabolic acidosis
would occur in a child experiencing diarrhea because of the loss of bicarbonate. Diarrhea might or might not accompany
vomiting. Hyperactive bowel sounds are not necessarily associated with vomiting.
112. Diarrhea Rectal temperature measurements should be avoided if diarrhea is present. Use of a rectal thermometer can stimulate
peristalsis and cause more diarrhea. Axillary and tympanic measurements of temperature would be acceptable. Most
measurements are done using electronic devices.
113. Cleft Palate
The mother is taught the ESSR method of feeding the child with a cleft palate: enlarge the nipple, stimulate the
sucking reflex, swallow, and rest to allow the infant to finish swallowing what has been placed in the mouth
114. Imperforated Anus
During the newborn assessment, this defect should be identified easily on sight. However, a rectal
thermometer or tube may be necessary to determine patency if meconium is not passed in the first 24 hours after birth. Other
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- Spring '14
- Sudden infant death syndrome, Shaken baby syndrome