A neonate is suspected of having a tracheoesophageal fistula.
Which of the following findings would be consistent with a diagnosis of a tracheoesophageal fistula?
A neonate is suspected of having a tracheoesophageal fistula.
Which of the following findings would be consistent with a diagnosis of a tracheoesophageal fistula?
A. hypersensitive gag reflex.
[50%]
B. dry mouth.
[4%]
C. cyanosis.
[41%]
D. decreased level of consciousness.
[5%]
Statistics
Subject/Lesson
Subject
Child Health
Lesson
Gastrointestinal
Client Need
Test Plan
Physiological Adaptation
Related Topic
Alterations in Body Systems
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice C is correct. Cyanosis is a notable symptom in a neonate with a tracheoesophageal fistula. The cyanosis often results from a laryngospasm (a protective mechanism that the body has to prevent aspiration into the trachea).
Choice A is incorrect. A hypersensitive gag reflex is not a symptom traditionally related to a tracheoesophageal fistula. However, regurgitation can occur from secretions that pool in a blind pouch of the fistula. These infants may need more suctioning.
Choice B is incorrect. Individuals afflicted with tracheoesophageal fistulas typically display excessive salivation and drooling, not a dry mouth.
Choice D is incorrect. A decreased level of consciousness is not a symptom commonly associated with a tracheoesophageal fistula.
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2 Key Topics
Measuring Vital Signs
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Additional Info
✓ A tracheoesophageal fistula is an abnormal passage or connection between the esophagus (typically the lower) and the trachea.
✓ Cyanotic spells, also known as blue spells, dying spells, or apparent life-threatening events, refer to a bluish tone visible in the mucosal membranes and skin caused by an oxygen decrease in the peripheral circulation.
✓ Esophageal atresia and tracheoesophageal fistula often occur together. The two conditions are also frequently seen in children with other birth defects of the spine, heart, kidney, genitals, ears, and limbs and delayed mental development, physical development, or both.
