The nurse is with a newborn that is having radiographic studies to determine if the newborn has esophageal atresia and if the newborn also has tracheoesophageal fistula
When the radiopaque nasogastric tube is passed through the nose to the stomach, it stops at 10 centimeters and the radiographic studies show air in the stomach. The nurse is aware that these finding indicate which of the following conditions? a. normal esophagus and stomach
b. abnormal esophagus and normal stomach
c. esophageal atresia without tracheoesophageal fistula
d. esophageal atresia with tracheoesophageal fistula
D
Feedback
A Incorrect. These findings do not indicate a normal esophagus and stomach.
B Incorrect. These findings do not indicate an abnormal esophagus and normal stomach. The esophagus is abnormal because it should be connected to the stomach. However, in this anomaly it terminates before reaching the stomach. The stomach is filled with air because there is a fistula between the esophagus and trachea, so the stomach is also abnormal.
C Incorrect. In esophageal atresia without tracheoesophageal fistula air would not be in the stomach.
D Correct. These findings indicate esophageal atresia with tracheoesophageal fistula. In infants with esophageal atresia a nasogastric tube passed through the nose to the stomach typically stops at 10-12 cm. The normal distance is 17 cm. If tracheoesophageal fistula is present, air will be seen in the stomach because of the connection between the esophagus and trachea.
You might also like to view...
Which of the following statements describes the relationship between the pulmonary circulation and the pulmonary vascular bed?
a. The pulmonary circulation is a high-pressure system with normal pressures averaging 100/60 to 120/70 mm Hg. b. Because of the low pulmonary arterial pressures, the right ventricular wall thickness needs to be only one-third that of the left ventricle. c. Pulmonary hypertension is defined as increased pulmonary artery systolic pressure above 20 mm Hg. d. The most common cause of pulmonary hypertension is right-sided heart failure.
In the case of an unexpected death in hospital, who can confirm that a patient has died?
a. a senior nurse b. a doctor c. the coroner d. the nurse caring for the patient
One of the goals of restorative care is to prevent complications.
Answer the following statement true (T) or false (F)
Every society has what is called the dominant value orientation. Which of the following best describes the dominant value orientation of the majority culture in the United States?
A. Belief in ancestral knowledge and reverence for aged members of the society B. Working hard and being self-supporting and financially independent C. Living within a communal group and rejecting personal belongings D. Moving away from other people and living in a cabin without heat, lights, or water