The woman has a normal pregnancy except for polyhydramnios. The delivery goes well and the baby is born and receives APGAR scores of seven and nine. Upon admission to the newborn nursery, the nurse is unsuccessful in inserting a nasogastric tube
The infant is suspected of having an esophageal atresia/tracheoesophageal fistula. While waiting for the pediatrician to see the infant, the nurse should: 1. Position the infant in semi-Fowler position.
2. Allow the infant to be taken to the mother's room for bonding.
3. Offer the infant formula feeding instead of breastfeeding.
4. Wrap the infant in blankets and place in a crib by the viewing window.
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Rationale 1: This will reduce stomach juices from being aspirated into the lungs.
Rationale 2: Because an anomaly is suspected, the infant should remain under visualization until the diagnosis is confirmed and medical orders determined.
Rationale 3: If an EA/TE fistula is suspected, the feeding should be withheld until the diagnosis is confirmed or cleared.
Rationale 4: An infant wrapped in blankets cannot be observed clearly. The child should be placed in an over-bed warmer.
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