A newborn in the nursery has excessive drooling and coughing with ...

[skymedlock]

A newborn in the nursery has excessive drooling and coughing with associated cyanosis, which worsens when feeding is attempted. Based on these assessments, the nurse suspects this child to have:
 
  a. Pyloric stenosis
  b. Biliary atresia
  c. Tracheoesophageal fistula
  d. Bowel obstruction

Question 2

When the nurse is instilling drops into the ear of a 2-year-old, the nurse should:
 
  a. Pull the earlobe up
  b. Chill the drops prior to administration
  c. Assist the child to sit upright after instillation
  d. Draw the earlobe down and back to straighten the ear canal

[abctaiwan]

Answer to Question 1

C
Tracheoesophageal atresia is a condition in which the esophagus and the trachea are attached with a fistula that allows saliva and feedings to enter the trachea, causing coughing. These signs increase when feeding is attempted.

Answer to Question 2

D
For a child younger than 3 years of age, the earlobe is drawn down and back to straighten the ear canal and allow the drops to enter the ear canal. The child should be left in a supine or side-lying position while the drops are absorbed. The drops should be warmed.