NR 507 Week 5 – Open Forum Discussion

According to Stanton (2018), Pyloric Stenosis is the narrowing of the opening of the pylorus, which blocks the movement of food from the stomach to the intestine. The pylorus is the lower portion of the stomach connecting to the small intestine. Pyloric stenosis is usually seen in babies from birth to 6 months. When pylorus is narrowed, it causes constant and projectile vomiting, which leads to other complications, including aspiration, dehydration, and electrolyte imbalance. In addition, this problem in babies is one of the most common newborn issues that needs surgical interventions (Stanton, 2018).

According to Stanton (2018), white American newborns are more likely to develop pyloric stenosis than other races. It is more often seen in male babies than in girls and may be inherited. “Pyloric stenosis is considered a multifactorial trait. Multifactorial inheritance means that many factors are involved in causing a birth defect. The factors are usually both genetic and environmental. Often, one gender (either males or females) is affected more frequently than the other in multifactorial traits. There appears to be a different threshold of expression, which means that one gender is more likely to show the problem than the other gender. For example, pyloric stenosis is four times more common in males than females. Once a child has been born with pyloric stenosis, the chance for it to happen again depends on the gender of the child already born with the condition, as well as the gender of the next child” (Nationwide Children’s Hospital, 2019, para. 5).

NR 507 Week 5 – Open Forum Discussion

The pathological process of pyloric stenosis is seen in the narrowing of the pylorus, which causes signs and symptoms of dehydration due to constant and forceful vomiting (Stanton, 2018). I think that the family teaching that the Family Nurse Practitioner must include in the Care of newborns or babies with this condition would be dehydration, electrolyte, and aspiration pneumonia prevention. Also, safety is one of the biggest concerns in this condition, as this will put the baby with pyloric stenosis at risk for complications that can be lethal.

Reference

Stanton, M. (2018). Pyloric stenosis. Oxford Medicine Online, 34(12), 45-56. Doi: 10.1093/med/9780198759928.003.0032

Nationwide Children’s Hospital, (2019). Pyloric stenosis. Retrieved from https://www.nationwidechildrens.org/conditions/pyloric-stenosis

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NR 507 Week 5 – Open Forum Discussion

Describe the presentation you would expect to see in a three-month-old baby boy with pyloric
stenosis.

What is the etiology of pyloric stenosis?

How does the pathophysiological process of pyloric stenosis lead to the signs and symptoms?

What teaching would the FNP provide to the parents who are managing this infant at home?