What clinical manifestation in a newborn would cause a nurse to suspect the diagnosis of tracheoesophageal fistula (TEF)?
An orogastric tube fails to pass at birth.
The infant has a low birth weight.
It is visually identified at the time of delivery.
Dry mouth and nares, little to no oral secretions at delivery.
The Correct Answer is A
Choice A reason: This is the correct choice. If an orogastric tube fails to pass, it may indicate a blockage or abnormal connection, such as a tracheoesophageal fistula.
Choice B reason: Low birth weight can be associated with many conditions and is not specific to TEF.
Choice C reason: TEF is not typically visible without special imaging or procedures; it cannot be visually identified at delivery.
Choice D reason: Dry mouth and nares with little to no oral secretions could indicate other conditions and are not specific to TEF. TEF often presents with excessive oral secretions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Limiting green, leafy vegetables is not typically necessary for patients with liver disease and esophageal varices unless they are on anticoagulant therapy.
Choice B reason: While passive range of motion exercises are beneficial for maintaining joint mobility, they are not directly related to the prevention of hematemesis.
Choice C reason: This is the correct choice. Lifting heavy objects can increase abdominal pressure and the risk of bleeding from esophageal varices.
Choice D reason: Midodrine is a medication used to treat low blood pressure, not specifically for esophageal varices or hematemesis.
Correct Answer is C
Explanation
Choice A reason: While drug overdose is a concern, it is not the leading cause of death among adolescents.
Choice B reason: Water safety and drowning are important, but they do not lead in causing deaths in this age group.
Choice C reason: This is the correct choice. Motor vehicle accidents are the leading cause of death among adolescents.
Choice D reason: Depression and suicide are significant issues, but they do not surpass motor vehicle accidents as the leading cause of death.
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