Question

Pediatric nursing NCLEX:

Following questions are referred to Gastroesoohagel reflux disease in pediatric population.

1. What are the major concerns with Gastroesoohagel reflux disease (in pediatric population) when it is related to medication?

2. Reflux in the baby, can travel upwards and aspirate on stomach contents. How does Gastroesoohagel reflux related to recurring pneumonia (in pediatric population)?

3. What are the difference between GER vs GERD in pediatric population?

4. What are the purpose or growth/development parameter assessment?

5, After fundiplication surgical treatment, what are the post operative care? Why can’t they vomit?

6. What are the signs and symptoms of aspiration?

Answer 1

.1. What are the major concerns with Gastroesophageal reflux disease (in the pediatric population) when it is related to medication?

The major concerns with GERD in the pediatric population are

• Hiatus hernia
• neurological impairment
• achalasia
• cystic fibrosis
• Esophageal adenocarcinoma

2. Reflux in the baby, can travel upwards and aspirate on stomach contents. How does Gastroesoohagel reflux related to recurring pneumonia (in pediatric population)?

GERD disorders in babies allow the stomach content to go up into the esophagus. if the stomach content enters into the throat and get into the vocal cords and enter into lungs. it causes lung inflammation and leads to pneumonia. If the GERD is not treated properly, pneumonia reoccurs frequently.

3. What are the difference between GER vs GERD in pediatric population?

GER is a gastro esophagus reflux in which the stomach contents enter into the esophagus and causes heartburn in babies. GERD is a long-lasting condition of GER. The babies avoid feeding or spitting up of feeding more frequently.

4. What are the purpose or growth/development parameter assessment?

• poor weight gain
• weight loss
• failure to thrive
• Persistent vomiting
• Reflux failure
• Level of feeding and refusal

5, After fundoplication surgical treatment, what are the postoperative care? Why can’t they vomit?

• Upright positioning
• elevate the head of the bed
• pain management
• NG feeding
• small frequent meals with cereals
• Monitor the vital signs.

Initially, the babies have been fed with NG tube and later start with clear fluids. So there is less chance of vomiting.

6. What are the signs and symptoms of aspiration?

• weak sucking
• wheezing
• hoarse voice
• chest discomfort
• choking
• gagging