The woman has a normal pregnancy except for polyhydramnios. The delivery goes well and the baby is born and receives APGAR scores of seven and nine. Upon admission to the newborn nursery, the nurse is unsuccessful in inserting a nasogastric tube. The infant is suspected of having an esophageal atresia/tracheoesophageal fistula. While waiting for the pediatrician to see the infant, the nurse should:
A)Position the infant in semi-Fowler position.
B)Allow the infant to be taken to the mother's room for bonding.
C)Offer the infant formula feeding instead of breastfeeding.
D)Wrap the infant in blankets and place in a crib by the viewing window.

Question

Quizplus · Accepted Answer

Positioning the infant in semi-Fowler position will help prevent aspiration if there is an esophageal atresia/tracheoesophageal fistula. This position helps prevent reflux of gastric contents into the trachea and lungs. Allowing the infant to be taken to the mother's room for bonding or offering formula feeding is not appropriate until the infant's suspected condition is ruled out by the pediatrician. Placing the infant in a crib by a viewing window and wrapping in blankets does not address the suspected condition and may even increase the risk of aspiration.

The Woman Has a Normal Pregnancy Except for Polyhydramnios