A 2-year-old boy swallows a penny. The boy's mother checks his stool for several days, but the penny does not appear. Meanwhile, the boy has lost his appetite and seems to have difficulty eating. When a foreign object is swallowed, it often lodges at which portion of the gastrointestinal tract

This can lead to a blockage or tear in the gastrointestinal  tract.

Explanation:

If you swallow a foreign object, it can get stuck along the gastrointestinal tract from the esophagus

the article must be ratified by three-fourths (38) of states within a proscribed deadline.

source:

an informal structure in a bureaucracy would be something like so-called "office politics". where there's a formal structure set up for the organization, but then an informal subculture as well that has a way of organizing the bureaucracy further. this can be positive because it sets up an added degree of organization, albeit informal, within the bureaucracy.