The nurse is caring for a neonate with a suspected tracheoesophageal fistula (TEF). Nursing care should include
a. Elevating the head but give nothing by mouth
b. Elevating the head for feedings
c. Feeding glucose water only
d. Avoiding suction unless infant is cyanotic
A
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A When a newborn is suspected of having TEF, the most desirable position is
supine with the head elevated on an incline plane of at least 30 degrees. It is
imperative that any source of aspiration be removed at once; oral feedings are
withheld.
B Feedings should not be given to infants suspected of having TEF.
C Feedings should not be given to infants suspected of having TEF.
D The oral pharynx should be kept clear of secretion by oral suctioning. This is to
avoid cyanosis that is usually the result of laryngospasm caused by overflow of
saliva into the larynx.
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