Shortly after birth, a neonate diagnosed with tracheoesophageal fistula is observed to have copious amounts of thin mucus. The nurse's priority intervention is to:
1. Notify the supervising nurse and the physician immediately.
2. Feed the infant watered formula to promote swallowing of saliva.
3. Chart observation and check for abdominal distention.
4. Position the infant on his back with the head of the bed elevated.
3
Rationale: Copious oral secretions are to be expected because of the inability to swallow secretions normally. Once the pouch fills, the secretions will run out of the mouth. Abdominal distention should be monitored.
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