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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Children with acute epiglottitis typically experience a high fever, not a lower temperature. A fever is a common sign of infection in this condition.
B. Ceftriaxone is commonly used in the treatment of acute epiglottitis, as it is effective against the bacteria that commonly cause this infection.
C. Difficulty swallowing (dysphagia) is a common symptom of acute epiglottitis due to swelling in the throat.
D. Oxygen therapy may be required to ensure adequate oxygenation in a child with acute epiglottitis due to airway obstruction.

A. Trisomy 21 B. Fragile X C. Turners Syndrome D. Williams Syndrome

Correct Answer is B

Explanation

A. Trisomy 21, or Down syndrome, typically presents with features like intellectual disability, a flat facial profile, upward slanting eyes, and a small mouth. The elongated facial structure and ear protrusion are not characteristic of this condition.
B. Fragile X syndrome is associated with developmental delays, autistic behaviors, and distinct physical features such as a long face, large ears, and a prominent jaw. These characteristics are consistent with the child’s presentation.
C. Turner’s syndrome primarily affects females and is characterized by short stature, webbed neck, and gonadal dysgenesis, but it does not typically involve autistic behaviors or elongated facial features.
D. Williams syndrome involves a distinct set of features including a broad forehead, short nose, and full lips. It is not primarily associated with elongated facial features and ear protrusion.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to the parents of a 4-year-old child with acute epiglottitis. The nurse recognizes that the parents need further teaching when they make which of the following statements?

Correct Answer is A

Explanation

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Correct Answer is B

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