Certified Pediatric Nurse (CPN)

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Prepare for the Certified Pediatric Nurse Exam. Utilize flashcards and multiple-choice questions, each with helpful hints and thorough explanations. Excel in your certification test and advance your nursing career!

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What is the most appropriate nursing intervention for a neonate suspected to have Tracheoesophageal Fistula (TEF)?

Avoiding suctioning unless cyanotic
Elevating the head of bed/crib and NPO
Elevating the neonate's head for 1 hour after feedings
Giving the neonate only glucose water for the first 24 hours

The correct answer is: Elevating the head of bed/crib and NPO

Elevating the head of the bed or crib and ensuring the neonate is NPO (nothing by mouth) are essential nursing interventions for a newborn suspected of having Tracheoesophageal Fistula (TEF). This condition involves an abnormal connection between the esophagus and the trachea, which can lead to serious complications, including aspiration. By keeping the neonate NPO, the risk of oral intake leading to food or liquids entering the trachea is minimized. Elevating the head helps prevent aspiration of secretions and possibly feeds that might inadvertently enter the airway. Effective positioning is crucial in managing the respiratory risks associated with TEF, as it can help facilitate drainage and decrease the likelihood of respiratory distress. While other options may address aspects of care for a neonate, they do not comprehensively address the critical need for prevention of aspiration and maintaining airway safety in a case of suspected TEF.