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Common Congenital Anomalies in Newborns

- Esophageal Atresia (EA) and Tracheoesophageal Fistula (TEF)

Symptoms:

  • Foamy saliva due to esophageal obstruction.
  • Cyanosis during feeding if a fistula exists between the trachea and esophagus.
  • Diagnosis is confirmed by inserting a Replogle tube, taking an X-ray, and observing the tube coiling in the upper esophagus.

Nursing Care:

  • Discontinue oral feeding and administer IV fluids as per the doctor’s instructions.
  • Elevate the newborn’s head to a 30-degree angle to prevent aspiration.
  • Continuously suction saliva from the esophagus.