Author Question: A neonate is diagnosed with a tracheoesophageal fistula. The infant is having difficulty managing ... (Read 29 times)

lilldybug07 · **on:** Jun 27, 2018

A neonate is diagnosed with a tracheoesophageal fistula. The infant is having difficulty managing secretions. An appropriate intervention would be to:

a. Position infant supine to reduce pressure on the chest
b. Maintain infant in an upright position to reduce risk of aspiration
c. Provide small, frequent feedings to reduce oxygen demand
d. Monitor respiratory status once each shift

Question 2

In working with the breastfeeding mother of an infant with a cleft lip or cleft palate, the nurse will teach the mother to do which of the following before having the infant latch on?

a. Place a warm washcloth on the breast. c. Pump part of the milk from the breast.
b. Place ice packs on the breast. d. Give a little water from a bottle first.

juicepod · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
The infant needs to be placed in an upright position to prevent aspiration and promote respirations. The infant will be NPO. Respiratory status should be monitored closely, not only once per shift.

Answer to Question 2

A

Feedback
A Correct. The infant usually feeds best then the breast is full. Therefore, teach the mother to place a warm washcloth on the breast to encourage the milk let-down prior to having the infant latch on.
B Incorrect. Ice packs will decrease blood flow to the breast and be counterproductive to effective breastfeeding.
C Incorrect. Pumping part of the milk from the breast before the baby latches on would be inappropriate. In preparation for latch on it may be helpful for the mother to manually express a few drops of milk and spread it over the nipple. This may entice the baby to open the mouth as the milk is tasted.
D Incorrect. Giving a little water from a bottle first is not advisable because the baby may become confused going from bottle to breast then breastfeeding is first initiated. Many practitioners recommend that bottles be avoided until breastfeeding is well established, usually after 3 to 4 weeks.