Which is the priority nursing diagnosis when planning care for a newborn who is born with esophageal atresia and tracheoesophageal fistula?
1. Ineffective Tissue Perfusion
2. Ineffective Infant Feeding Pattern
3. Acute Pain
4. Risk for Aspiration
4
Explanation:
1. Tissue perfusion is not a primary problem with this condition.
2. The infant is always kept NPO (nothing by mouth) preoperatively, so ineffective feeding pattern would not apply.
3. Pain is not usually experienced preoperatively with this condition.
4. This is the most common type of esophageal atresia and tracheoesophageal fistula, where the upper segment of the esophagus ends in a blind pouch and a fistula connects the lower segment to the trachea. Preoperatively, there is a risk of aspiration of gastric secretions from the stomach into the trachea because of the fistula that connects the lower segment of the esophagus to the trachea.
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