ADN Test 2 QUESTIONS ANDANSWERS 100% CORRECTEA-Manifestations Correct Answer: Failure to pass suction catheter, NG tube at birthExcessive oral secretions, droolingVomiting (undigested formula)Abdominal distentionAirless, scaphoid abdomen (atresia without fistula)Sonorous (seal like bark cough)Choking with feedingR.distress and cyanosis (if secretions aspirated)EA-Patho Correct Answer: Occurs when the proximal end of the esophagus ends in blind pouch; food unable to enter stomach through esophagus.With TEF: Occurs when connection exists between the esophagus and trachea; may result in reflux of gastric juice after feeding(4-5weeks of pregnancy) Food enters lungs, air enters stomachCause is unknownCan be with or without TEF (tracheoesophageal fistula)No difference in sex and incidenceNearly half born with EA have other congenital defects (cardiac, GI, CNS)PrematurityLow birth weightEA-Preop Correct Answer: Initial repair includes ligation of the fistula and end-to-side anastomosis of the atresia to decrease the severity of stricture formation. G-tube placedAnastomosis, colon interposition, and dilation (expected later)Evaluation and treatment of esophageal motility dysfunction, gastroesophageal reflux, strictures, bronchitis and pneumonia may occur as the child growsEA-Assessment Correct Answer: The infant with TEF is at constant risk of aspirationAssess R.distress immediately after birthExamine for excessive oral secretions, choking, and cyanosis.Difficulty swallowing, regurgitation, vomiting, and unexplained cyanosis after inital feeding of an undiagnosed infant are