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Question

Consider the following statements regarding the management of trachea-esophageal fistula in neonates:

1. The baby should be nursed in prone position.

2. The neonate should be kept nil per orally and started on intravenous fluids.

3. The neonate needs continuous oral suction using a slow suction device.

4. Surgery should be planned once the neonate attains 2.5 kg weight.

Which of the statements given above are correct?

This question was previously asked in
UPSC CMS 2026 Surgery, Gynaecology & Obstetrics, and PSM Question Paper (02-Aug-2026)
The correct answer is

2 and 3 only

Correct pre-operative management is nil-per-orally with IV fluids (statement 2) and continuous gentle oral/pharyngeal suction of secretions from the upper pouch to prevent aspiration (statement 3). The baby should be nursed in a propped-up (head-elevated), not prone, position to reduce gastric reflux into the airway, and surgery is not delayed for weight gain to 2.5 kg — it is typically done early once the baby is stable, so statements 1 and 4 are incorrect.

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Important Questions from Neonatal Care

  1. Which one of the following statements is correct regarding physiology of breastfeeding?
  2. If a baby does not begin breathing in response to tactile stimulation, then the baby is assumed to be in:
  3. Consider the following conditions :
    Response to tactile stimulationHeart RateBlood PressureTone
    AYesNormalNormalNormal
    BYesFallingNormalDecreasing
    CNoFallingFallingDecreasing
    DNoRisingNormalNormal
    Primary apnea in a neonate is characterized by which one of the above conditions?
  4. Consider the following statements about human breast milk : 

    1. 75% of breast milk content is water. 

    2. Breast milk is poor in taurine and cysteine. 

    3. Breast milk is particularly rich in omega 2 and omega 6 fatty acids. 

    4. High lactose content of breast milk helps in absorption of calcium. 

    Which of the statements given above are correct?

  5. Which of the following are signs of good attachment during breastfeeding? 

    1. The baby's nose is at the level of the nipple. 

    2. The baby's mouth is wide open. 

    3. The baby's chin touches the breast. 

    4. The baby's lower lip is everted. 

    Select the correct answer using the code given below:

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