A nurse is teaching a group of parents about tracheoesophageal ...

[fagboi]

A nurse is teaching a group of parents about tracheoesophageal fistula. Which statement, made by the nurse, is accurate about tracheoesophageal fistula (TEF)?
 
  a. This defect results from an embryonal failure of the foregut to differentiate into the trachea and esophagus.
  b. It is a fistula between the esophagus and stomach that results in the oral intake being refluxed and aspirated.
  c. An extra connection between the esophagus and trachea develops because of genetic abnormalities.
  d. The defect occurs in the second trimester of pregnancy.

Question 2

The postoperative care plan for an infant with surgical repair of a cleft lip includes which intervention?
 
  a. A clear liquid diet for 72 hours
  b. Nasogastric feedings until the sutures are removed
  c. Elbow restraints to keep the infant's fingers away from the mouth
  d. Rinsing the mouth after every feeding

[fdliggud]

Answer to Question 1

A
When the foregut does not differentiate into the trachea and esophagus during the fourth to fifth week of gestation, a TEF occurs. TEF is an abnormal connection between the esophagus and trachea. There is no connection between the trachea and esophagus in normal fetal development. Tracheoesophageal fistula occurs early in pregnancy during the fourth to fifth week of gestation.

Answer to Question 2

C
Keeping the infant's hands away from the incision reduces potential complications at the surgical site. The infant's diet is advanced from clear liquid to soft foods within 48 hours of surgery. After surgery, the infant can resume preoperative feeding techniques. Rinsing the mouth after feeding is an inappropriate intervention. Feeding a small amount of water after feedings will help keep the mouth clean. A cleft lip repair site should be cleansed with a wet sterile cotton swab after feedings.

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