Pediatric Nursing

Establishes baby's hydrationA 11 month old boy with cleft lip & palate was discharged from the hospital after…

Establishes baby's hydrationA 11 month old boy with cleft lip & palate was discharged from the hospital after surgery. The nurse provided the parents with teaching. Which of the following statement by the parents indicate appropriate understanding of the teaching instruction?

  1. A I should avoid that my infant's cry's as much as possible الإجابة الصحيحة
  2. B I will use a spoon to feed my child after the surgery
  3. C I will put my child in his abdomen after feeding
  4. D I will use lotion to ease my child's lip irritation

الشرح

Core Concept: Postoperative care for cleft lip repair (cheiloplasty) focuses entirely on protecting the delicate surgical suture line from tension and trauma. Crying creates significant facial muscle tension that can lead to wound dehiscence and scarring. Parents must anticipate the infant's needs and soothe them promptly to minimize crying.

Clinical Presentation:

  • Cleft lip/palate: Visible gap in the upper lip and/or roof of the mouth.
  • Post-op: Suture line on the lip, risk of airway compromise or aspiration.

Diagnosis:

  • First-line diagnostic plan: Prenatal ultrasound can often detect cleft lip.
  • Gold standard test: Comprehensive physical examination at birth and genetic evaluation to rule out associated syndromes.

Management:

  • Acute management: Post-op: Avoid crying, use specialized feeders (e.g., Breck feeder), keep hard objects (pacifiers, straws, spoons) out of the mouth, and use elbow restraints (No-No's) to prevent touching the face.
  • Gold standard long-term/definitive management: Staged surgical repairs (palate repair at 9-18 months), multidisciplinary care including speech therapy, audiology, and orthodontics.

40 سؤالاً مجاناً مع حساب

الأسئلة المنشورة هنا عيّنة ثابتة. أنشئ حساباً مجانياً لتتدرب على بنك الأسئلة الكامل، مع تحليل أدائك حسب التخصص وصفحة لمراجعة أخطائك.

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