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 ["C","D"]

Explanation

A. Allowing the child to rub their eyes is not recommended as it can spread the infection and increase irritation. The child should be instructed not to rub their eyes.
B. Using eye drops from a previous infection is not advisable because the medication may be outdated or ineffective. A new prescription should be obtained for the current infection.
C. Applying warm compresses to the affected eye can help alleviate discomfort and promote healing by loosening secretions. This is a helpful intervention.
D. Practicing good hand hygiene before and after touching the affected eye is essential to prevent the spread of the infection and to avoid contaminating other areas.
E. Sharing towels and washcloths can spread the infection to other family members, so these items should not be shared until the infection has resolved.

A. Frequent hospitalizations. B. Weight loss. C. Cognitive impairment D. Dependence on caregivers.

Correct Answer is A

Explanation

A. Children with dysmorphic syndromes and congenital anomalies often have multiple medical needs that require frequent hospitalizations for treatment or monitoring.
B. Weight loss is not necessarily a primary concern unless there is a feeding issue or metabolic disorder.
C. Cognitive impairment may be a concern depending on the specific syndrome, but it is not as immediate a concern as potential frequent hospitalizations.
D. Dependence on caregivers is expected, but the primary concern is frequent medical interventions, not the dependency itself.

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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.)

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