Deck 7: Assessment of the Gastrointestinal System

Question 1

Increased peristaltic waves may indicate an intestinal obstruction.

Answer 1

True

Question 2

Auscultation is the next technique to be used on the abdomen, although on other body systems, palpation and percussion come first. If these techniques are used first on the gastrointestinal system, the bowel sounds may be altered.

Answer 2

True

Question 3

Hyperactive bowel sounds heard in one area may indicate an obstruction between the two areas.

Answer 3

False

Question 4

In young children, shotty (pea-sized)nodes should be measured.

Question 5

To percuss the length of the liver, start percussing at the right midaxillary line around toward the abdomen, just above the right costal margin.

Question 6

Match each item to the statement or sentence listed below.

-Purulent discharge

A)Encopresis
B)Omphalitis
C)Increased peristaltic waves
D)Adhesions
E)Intussusceptions (a condition in which a section of the bowel slides into itself)
F)Volvulus and an ingested nonfood foreign body.

Question 7

Match each item to the statement or sentence listed below.

-Twisted or kinked intestines

A)Encopresis
B)Omphalitis
C)Increased peristaltic waves
D)Adhesions
E)Intussusceptions (a condition in which a section of the bowel slides into itself)
F)Volvulus and an ingested nonfood foreign body.

Question 8

Match each item to the statement or sentence listed below.

-Scar tissues

A)Encopresis
B)Omphalitis
C)Increased peristaltic waves
D)Adhesions
E)Intussusceptions (a condition in which a section of the bowel slides into itself)
F)Volvulus and an ingested nonfood foreign body.

Question 9

Match each item to the statement or sentence listed below.

-May indicate an intestinal obstruction.

A)Encopresis
B)Omphalitis
C)Increased peristaltic waves
D)Adhesions
E)Intussusceptions (a condition in which a section of the bowel slides into itself)
F)Volvulus and an ingested nonfood foreign body.

Question 10

Match each item to the statement or sentence listed below.

-The voluntary or involuntary passage of stools in a child who has been toilet trained that causes the soiling of clothes.

A)Encopresis
B)Omphalitis
C)Increased peristaltic waves
D)Adhesions
E)Intussusceptions (a condition in which a section of the bowel slides into itself)
F)Volvulus and an ingested nonfood foreign body.

Question 11

Match each item to the statement or sentence listed below.

-A condition in which a section of the bowel slides into itself.

A)Encopresis
B)Omphalitis
C)Increased peristaltic waves
D)Adhesions
E)Intussusceptions (a condition in which a section of the bowel slides into itself)
F)Volvulus and an ingested nonfood foreign body.

Question 12

Match each item to the statement or sentence listed below.
Internal Abdominal Organ Placement

-Liver/gallbladder

A)RUQ
B)RLQ
C)LUQ
D)LLQ
E)Midline

Question 13

Match each item to the statement or sentence listed below.
Internal Abdominal Organ Placement

-Body of pancreas

A)RUQ
B)RLQ
C)LUQ
D)LLQ
E)Midline

Question 14

Match each item to the statement or sentence listed below.
Internal Abdominal Organ Placement

-Sigmoid colon

A)RUQ
B)RLQ
C)LUQ
D)LLQ
E)Midline

Question 15

Match each item to the statement or sentence listed below.
Internal Abdominal Organ Placement

-Bladder

A)RUQ
B)RLQ
C)LUQ
D)LLQ
E)Midline

Question 16

Match each item to the statement or sentence listed below.
Internal Abdominal Organ Placement

-Umbilicus

A)RUQ
B)RLQ
C)LUQ
D)LLQ
E)Midline

Question 17

Match each item to the statement or sentence listed below.
Internal Abdominal Organ Placement

-Appendix

A)RUQ
B)RLQ
C)LUQ
D)LLQ
E)Midline

Question 18

Match each item to the statement or sentence listed below.
Internal Abdominal Organ Placement

-Stomach

A)RUQ
B)RLQ
C)LUQ
D)LLQ
E)Midline

Question 19

The urinary bladder lies where in the school-aged child?

A)Suprapubic area
B)Between the symphysis pubis and the umbilicus
C)Under the umbilicus
D)To the left of the suprapubic area

Question 20

Which is true as the child grows?

A)The abdominal wall is less muscular.
B)The internal organs are easier to palpate.
C)The liver and spleen enlarge.
D)The bladder is level with the kidneys.

Question 21

Which of the following is not an appropriate technique for palpating the liver and spleen easily:

A)Place your dominant hand flat just below the rib cage and push up from the back with your opposite hand.
B)Have the child take a deep breath and tense his abdominal muscles while you push the hand on the abdomen up under the rib cage.
C)Hook your fingers up under the rib cage and palpate the lower edge of the liver or spleen.
D)Have the child bend his knees and place his feet flat on the table when you palpate.

Question 22

Percussion is useful for measuring the liver, spleen, ascitic fluid, and masses. Percussion should be performed:

A)If abdominal problems are suspected.
B)During every physical examination.
C)During focused examinations.
D)When the child is not suspecting it.

Question 23

Abdominal assessment involves the evaluation of many of the gastrointestinal and ________________________ organs.

Question 24

A prominent abdomen is normal until ___________ occurs.

Question 25

___________________ should be of the same frequency and character throughout the abdomen.

Question 26

Assessment of the abdomen is slightly different in children than in adults because ___________________________________.