Ace the Certified Pediatric Nurse (CPN) Exam 2025 – Leap into Your Nursing Adventure!

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In which condition does a nurse expect to find a "sausage-shaped" mass in the abdomen?

Pyloric stenosis

Appendicitis

Hirschsprung's disease

The presence of a "sausage-shaped" mass in the abdomen is classically associated with intussusception, which is a condition where a segment of the intestine telescopes into an adjacent segment. This leads to obstruction and can present as a palpable abdominal mass that resembles a sausage.

In infants and young children, intussusception is a common cause of abdominal pain, vomiting, and currant jelly stools. The palpable mass is often located in the right upper quadrant and is described as sausage-shaped due to the nature of how the intestine folds in on itself.

Pyloric stenosis, while it can also cause vomiting and abdominal discomfort, typically presents with a different type of mass, often described as an "olive" shape in the right upper quadrant, rather than the elongated "sausage" configuration seen in intussusception.

Appendicitis may present with abdominal pain and tenderness, particularly in the right lower quadrant, but it does not usually create a sausage-shaped mass. It can lead to a mass if there is an associated abscess but it is distinctly different from intussusception.

Hirschsprung's disease primarily impacts the rectum and distal colon, leading to obstruction or constipation due to lack of peristals

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Intestinal obstruction

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