For what clinical manifestation should a nurse be alert when ...

[Themember4]

For what clinical manifestation should a nurse be alert when suspecting a diagnosis of esophageal atresia?
 
  a. A radiograph in the prenatal period indicates abnormal development.
  b. It is visually identified at the time of delivery.
  c. A nasogastric tube fails to pass at birth.
  d. The infant has a low birth weight.

Question 2

An important nursing consideration in the care of a child with celiac disease is to:
 
  a. Refer to a nutritionist for detailed dietary instructions and education.
  b. Help the child and family understand that diet restrictions are usually only temporary.
  c. Teach proper hand washing and Standard Precautions to prevent disease transmission.
  d. Suggest ways to cope more effectively with stress to minimize symptoms.

[connor417]

Answer to Question 1

ANS: C
Atresia is suspected when a nasogastric tube fails to pass 10 to 11 cm beyond the gum line. Abdominal radiographs will confirm the diagnosis. Prenatal radiographs do not provide a definitive diagnosis. The defect is not externally visible. Bronchoscopy and endoscopy can be used to identify this defect. Infants with esophageal atresia may have been born prematurely and with a low birth weight, but neither is suggestive of the presence of an esophageal atresia.

Answer to Question 2

ANS: A
The main consideration is helping the child adhere to dietary management. Considerable time is spent in explaining to the child and parents the disease process, the specific role of gluten in aggravating the condition, and those foods that must be restricted. Referral to a nutritionist would help in this process. The most severe symptoms usually occur in early childhood and adult life. Dietary avoidance of gluten should be lifelong. Celiac disease is not transmissible or stress related.