The nurse is caring for a newborn with a diagnosis of tracheoesophageal fistula (TEF). Which of the following assessment findings may be present in a newborn with TEF? (Select All that Apply.)
Normal feeding and swallowing
Sunken abdomen
Excessive drooling
Respiratory distress
Coughing or choking during feeding
Correct Answer : C,D,E
A. Normal feeding and swallowing would not be expected in a newborn with TEF, as they typically have difficulty feeding and may choke or cough.
B. Sunken abdomen is not a typical finding for TEF.
C. Excessive drooling is a common symptom due to the inability to swallow saliva properly.
D. Respiratory distress is a hallmark sign of TEF, as the fistula can lead to aspiration and breathing difficulties.
E. Coughing or choking during feeding is another classic sign of TEF due to the abnormal connection between the esophagus and the trachea.
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Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Normal feeding and swallowing would not be expected in a newborn with TEF, as they typically have difficulty feeding and may choke or cough.
B. Sunken abdomen is not a typical finding for TEF.
C. Excessive drooling is a common symptom due to the inability to swallow saliva properly.
D. Respiratory distress is a hallmark sign of TEF, as the fistula can lead to aspiration and breathing difficulties.
E. Coughing or choking during feeding is another classic sign of TEF due to the abnormal connection between the esophagus and the trachea.
Correct Answer is D
Explanation
A. RSV is spread primarily through droplets, not airborne, so airborne precautions are not necessary.
B. The toddler should not be placed in a semiprivate room due to the risk of spreading the infection to other children.
C. Negative pressure rooms are for airborne diseases like tuberculosis and are not needed for RSV.
D. RSV is spread via respiratory droplets and contact, so contact precautions should be implemented to prevent transmission.
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