NURSING AFFAIRS

NURSING EDUCATION ADMINISTRATION

RN Residency Program
Case Study
CASE
BABY 14 HRS OLD REFERED FROM OTHER HOSPITAL AS LIFE SAVING CASE. BABY IS PT 34 WEEKS , C/S ,
LBW 1.8 KG ,STABLE VITAL SIGN. WHEN THE MOTHER PRESENTED TO LABOUR THE ULTRASOUND
SHOWING POLYHYDROMONAS. THEN AFTER DELAVARY BABY HAD DISTRESS, FAILED TO INSERT
NGT/OGT TUBE AND SHOCKING WHEN SWALLWING.
 Esophageal atresia

Prepared & PresenterBy:

NADA ALQAHTANI
Esophageal atresia is a digestive system disorder where a fetus's esophagus develops
abnormally before birth. In babies with esophageal atresia, the esophagus doesn’t connect
correctly to the stomach. This malformation can cause choking and breathing problems. It’s
prevents all food from reaching the stomach after swallowing.
Types of esophageal atresia

 Type A: Both the top and bottom sections of the esophagus have closed ends that don’t connect .
 Type B: In this rare type, the bottom section of the esophagus is closed, and the top section attaches to the
trachea.
 Type C: The most common type of esophageal atresia has the lower section of the esophagus
attached to the trachea and the upper section closed.
 Type D: In this rare form of esophageal atresia, both ends of the esophagus connect to the trachea.
Clinical manifestations
Signs and symptoms of esophageal atresia usually appear as soon as a baby is born.
They can include:
 Bluish-colored skin when feeding.
 Choking, coughing or gagging when feeding.
 Foamy mucus in the mouth.
 Excessive salivation
 Spitting up or drooling.
 Trouble breathing
Diagnostic and Test
• Esophageal atresia is rarely diagnosed during pregnancy. After birth
when the baby first tries to feed and has choking or vomiting, or when
a tube inserted in the baby’s nose or mouth cannot pass down into the
stomach.
An x-ray can confirm that the tube stops in the upper esophagus
• In rare cases, esophageal atresia is diagnosed before birth during a
prenatal ultrasound. This imaging test uses sound waves to create an
image of the fetus on a monitor. Pregnancies affected by esophageal
atresia commonly develop a build-up of amniotic fluid
called Polyhydramnios
 PRE - OP

Medical and surgical treatment

• Esophageal atresia can be life-threatening, so the
baby has to be treated quickly. perform surgery to
connect the esophagus to the stomach in babies POST- OP
with this condition.

• Babies with other health issues or disabilities at

birth may need to wait to have surgery for
esophageal atresia.

LIKE WHAT? / If your baby has to wait for surgery, they will receive nutrition
through an IV until the operation occurs.
Nursing Care Plan

At least 3 nursing diagnosis

Conclusion
References (APA style)