The nurse is unsuccessful in inserting a nasogastric tube for a ...

[jazziefee]

The nurse is unsuccessful in inserting a nasogastric tube for a newborn client. The nurse suspects the newborn has esophageal atresia/tracheoesophageal (EA/TE) fistula. Which nursing action is appropriate while waiting for the healthcare provider to further assess the neonate?
 
  1. Position the newborn in semi-Fowler position.
  2. Allow the newborn to be taken to the mother's room for bonding.
  3. Offer the newborn formula feeding instead of breastfeeding.
  4. Wrap the newborn in blankets and place in a crib by the viewing window.

Question 2

A neonate is born with a bilateral cleft lip that was not detected during the pregnancy. The parents are distressed about the appearance of their infant. Which nursing actions are appropriate to assist the parents to bond with their newborn? Select all that apply.
 
  1. Calling the newborn by the chosen name
  2. Keeping the newborn's lower face covered with the blanket
  3. Smiling and talking to the newborn in the parents' presence
  4. Showing the parents before and after pictures of other children with cleft lips
  5. Discussing positive features of the baby

[dantucker]

Answer to Question 1

1
Explanation:
1. This will reduce stomach juices from being aspirated into the lungs.
2. Because an anomaly is suspected, the newborn should remain under visualization until the diagnosis is confirmed and medical orders determined.
3. If an EA/TE fistula is suspected, the feeding should be withheld until the diagnosis is confirmed or cleared.
4. A newborn wrapped in blankets cannot be observed clearly. The child should be placed in an over-bed warmer.

Answer to Question 2

1, 3, 4, 5
Explanation:
1. This behavior humanizes the child to the parents and is appropriate.
2. This indicates that the infant's appearance is distressing. Although the nurse would want to shield the child from a visitor's stare, the nurse would not want to hide the child from her own family.
3. This indicates acceptance of the infant by the nurse.
4. It is usually not appropriate to show before and after pictures as you cannot predict the success of the surgery on this child. But in the case of cleft lip, the improvement will be significant and it is considered acceptable to show before and after pictures.
5. Statements like, Your baby is the sweetest thingshe never cries, can help the parents recognize positive features about their baby.

[jazziefee]

Thank you

[dantucker]

No problemo