Esophageal Atresia (EA)
and Tracheoesophageal Fistula
and Tracheoesophageal Fistula
What is esophageal atresia and how is it diagnosed?
- upper and lower esophagus end in a blind pouch
- can be diagnosed if the catheter was unable to pass through mouth into stomach
What are the sign and symptoms of bowel atresia?
vomiting
swollen/distended abdomen
lack of appetite
absent or decreased bowel sounds
failure to pass meconium in 1st 24 hrs
crying, pain, discomfort
What is trisomy 21?
down syndrome
A newborn is suspected of having esophageal atresia (EA). What clinical manifestations would lead the nurse to suspect this condition, and what interventions should be prioritized?
drooling
gagging
choking
cyanosis
A newborn is diagnosed with gastroschisis. What is this condition?
when the intestines protrude through a hole in the abdomen near the umbilical cord
What is the pathology of trisomy 21?
extra copy of chromosome 21
What is a tracheoesophageal fistula?
upper segment of esophagus ends in pouch and lower segment of esophagus connects to the trachea
A newborn is diagnosed with gastroschisis. What nursing interventions should be prioritized in managing this condition?
- keep moist in sterile plastic bag
- monitor bowel every 15 mins for changes in color, kinking, twisting, compression
- make npo/ insert NG/OG tube
A baby was just diagnosed with down syndrome. What are the signs and symptoms of this?
- distinct facial features
- skeletal abnormalities
- weak floppy muscles
- intellectual disabilities
- heart, kidney, thyroid issues
- respiratory infections
- wide space between big toe and 2nd toe
- single deep crease on soles and hands
What is omphalocele?
when the bowels herniate into the umbilical cord
What makes omphalocele different from gastroschisis?
the intestines are covered in a protective sac