Certified Pediatric Nurse (CPN)

What is an important preparation step for a child undergoing surgery for pyloric stenosis?

1. Starting solid food immediately after admission

2. Administering oral antibiotics

3. NPO status and IV fluid management

4. Ensuring routine immunizations are up to date

The correct answer is: NPO status and IV fluid management

For a child undergoing surgery for pyloric stenosis, maintaining NPO status (nothing by mouth) and managing intravenous (IV) fluids are crucial preparation steps. Pyloric stenosis, a condition that causes blockage at the outlet of the stomach, often leads to dehydration and electrolyte imbalances due to persistent vomiting. By keeping the child NPO, the healthcare team ensures that the stomach is empty, which reduces the risk of aspiration during anesthesia and surgery. IV fluid management is also essential, as it allows for the safe restoration of hydration and electrolytes prior to the surgery, helping to stabilize the child's condition. Starting solid food immediately after admission would not be appropriate since the patient needs to be NPO to prepare for surgery. Administering oral antibiotics may not be a routine requirement unless there are specific indications, such as infection or other concurrent conditions, but it is not a standard preparation step for pyloric stenosis surgery. Ensuring that routine immunizations are up to date is generally good pediatric practice but does not directly relate to the specific surgical preparation for pyloric stenosis.