The nurse gives a 3-hour-old newborn his first feeding. Which reaction would indicate possible esophageal atresia?
a. Nasal flaring
b. Projectile vomiting
c. Choking
d. Substernal retractions
ANS: C
Choking would indicate possible esophageal atresia (failure of the esophagus to connect with the stomach). Typical symptoms include excessive mucus (drooling), gagging, choking on feedings, regurgitation of feeding, and abdominal distention after birth. Projectile vomiting is associated with pyloric stenosis. Nasal flaring and substernal retractions are signs of respiratory distress.
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