62 Ms. Stevenson is a 21-year-old woman who brings her 3-week-old

62 Ms. Stevenson is a 21-year-old woman who brings her 3-week-old

infant to the PMHNP for an “emergency” evaluation. Ms. Stevenson has a 2-year-old who was diagnosed with rumination disorder when he was 10 months old and had to be hospitalized for tube feedings while the family started treatment. Ms. Stevenson is worried now because her new baby vomits every time he eats; she is afraid he has the same thing. The PMHNP counsels Ms. Stevenson that:

A. Rumination does not run in families and it is unlikely that the new baby has this rare disorder.
B. The baby needs to be evaluated for pyloric stenosis and should be referred to his pediatrician.
C. The family will likely benefit from the same psychotherapeutic interventions that were used with the older child.
D. They will begin with a nutritional assessment to see if the new baby needs a feeding tube

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