NR328-Peds Test 2 GI-GU Exam Questions and
Answers.
What is a tracheoesophageal fistula? - A malformation of the trachea and esophagus.
What are signs and symptoms of tracheoesophageal fistula? - 3 Cs
Choking
Coughing
Cyanosis
Excess frothy salivation in mouth and nose
Drooling
During feedings, infant may swallow normally then suddenly cough and gag
In Esophageal Atrasia, what are signs and symptoms in children? - Chronic respiratory
problems
Recurrent pnuemonia
GI reflex
What is the best position for patient with tracheoesophageal fistula and esophageal
atresia? - Supine with HOB elevated
Nurse Management of tracheoesophageal fistula? - NPO
Initiate IV fluids
Suction mouth/nose
Maintain airway
Monitor VS/O2
Administer O2 PRN
Keep parents informed
What is the treatment for tracheoesophageal fistula? - Surgery-thoracotomy with division
and litigation of TEF
At what age does a cleft lip repair occur? - 2-3 months old
, At what age does a cleft pallet repair occur? - 6-12 months
Nurse management in cleft lip/pallet preop? - Encourage skin to skin contact with parent
to promote bonding
Alternative feeding requirements
Syringe feed infant
Suckle breast to promote latch on
Suction mouth and nose
Teach dehydration s/s
Nurse management in cleft lip/pallet postop? - Place infant supine or side lying HOB
elevated
Elbow restraints
Cleanse surgical site
Monitor VS
Monitor/maintain airway
What is intussusception? - Interstinal obstruction, the bowel telescopes
Signs and symptoms of intussusception? - Sudden onset of cramps abdominal pain.
Inconsolable crying
drawing up knees to chest
diarrhea
anorexia
weight loss
Treatment for intussusception? - Air enema
NS enema
What has red jelly like stool? - intussusception
What is pyloric stenosis? - An obstruction in the outlet to pyloric canal.
Answers.
What is a tracheoesophageal fistula? - A malformation of the trachea and esophagus.
What are signs and symptoms of tracheoesophageal fistula? - 3 Cs
Choking
Coughing
Cyanosis
Excess frothy salivation in mouth and nose
Drooling
During feedings, infant may swallow normally then suddenly cough and gag
In Esophageal Atrasia, what are signs and symptoms in children? - Chronic respiratory
problems
Recurrent pnuemonia
GI reflex
What is the best position for patient with tracheoesophageal fistula and esophageal
atresia? - Supine with HOB elevated
Nurse Management of tracheoesophageal fistula? - NPO
Initiate IV fluids
Suction mouth/nose
Maintain airway
Monitor VS/O2
Administer O2 PRN
Keep parents informed
What is the treatment for tracheoesophageal fistula? - Surgery-thoracotomy with division
and litigation of TEF
At what age does a cleft lip repair occur? - 2-3 months old
, At what age does a cleft pallet repair occur? - 6-12 months
Nurse management in cleft lip/pallet preop? - Encourage skin to skin contact with parent
to promote bonding
Alternative feeding requirements
Syringe feed infant
Suckle breast to promote latch on
Suction mouth and nose
Teach dehydration s/s
Nurse management in cleft lip/pallet postop? - Place infant supine or side lying HOB
elevated
Elbow restraints
Cleanse surgical site
Monitor VS
Monitor/maintain airway
What is intussusception? - Interstinal obstruction, the bowel telescopes
Signs and symptoms of intussusception? - Sudden onset of cramps abdominal pain.
Inconsolable crying
drawing up knees to chest
diarrhea
anorexia
weight loss
Treatment for intussusception? - Air enema
NS enema
What has red jelly like stool? - intussusception
What is pyloric stenosis? - An obstruction in the outlet to pyloric canal.
