Author Question: What should preoperative care of a newborn with an anorectal malformation include? a. Frequent ... (Read 25 times)

segrsyd · **on:** Jun 28, 2018

What should preoperative care of a newborn with an anorectal malformation include?

a. Frequent suctioning
b. Gastrointestinal decompression
c. Feedings with sterile water only
d. Supine position with head elevated

Question 2

The nurse is caring for an infant who had surgical repair of a tracheoesophageal fistula 24 hours ago. Gastrostomy feedings have not been started. What do nursing actions related to the gastrostomy tube include?

a. Keep the tube clamped.
b. Suction the tube as needed.
c. Leave the tube open to gravity drainage.
d. Lower the tube to a point below the level of the stomach.

af · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Gastrointestinal decompression is an essential part of nursing care for a newborn with an anorectal malformation. This helps alleviate intraabdominal pressure until surgical intervention. Suctioning is not necessary for an infant with this type of anomaly. Feedings are not indicated until it is determined that the gastrointestinal tract is intact. Supine position with head elevated is indicated for infants with a tracheoesophageal fistula, not anorectal malformations

Answer to Question 2

ANS: C
In the immediate postoperative period, the gastrostomy tube is open to gravity drainage. This usually is continued until the infant is able to tolerate feedings. The tube is unclamped in the postoperative period to allow for the drainage of secretions and air. Gastrostomy tubes are not suctioned on an as-needed basis. They may be connected to low suction to facilitate drainage of secretions. Lowering the tube to a point below the level of the stomach would create too much pressure.