Cleft Lip And Palate

Question 1

Complications of cleft lip and palate include:

Answer 1

Feeding difficulties
Altered dentition
Delayed or altered speech and development
Otitis media ( middle ear infection)

Question 2

What occurs during gestation that causes cleft lip and palate?

Answer 2

Either the lip or palate does not fuse

Question 3

Pregnancy history for risk factors for cleft lip and palate include:

Answer 3

Maternal smoking
Prenatal infection
Advanced maternal age
Use of anticonvulsants, steroids and other medication during early pregnancy

Question 4

Unprepared cleft palate is a risk for ______.

Answer 4

Aspiration

Question 5

When is cleft lip observable

Answer 5

At birth

Question 6

When is cleft palate defect noticed?

Answer 6

During the newborn assessment by Palpation of the palate with the finger

Question 7

What about the family should the nurse asses?

Answer 7

The families reaction because it may be devastating to the parents

Question 8

What should nurse planning include:

Answer 8

• giving emotional support
• performing post surgical care
• teaching parents of feeding techniques
• helping parents coordinate care

Question 9

What should a nurse promote between baby and parents?

Answer 9

Bonding

Question 10

Asses: the baby for…

Answer 10

Ability to suck, swallow, handle normal secretions and breathe without distress.

Question 11

What should a nurse monitor daily about the baby?

Answer 11

Daily weights

Question 12

Modified feeding techniques to teach

Answer 12

• Use obturators sand special nipples and feeders
• hold the baby upright and direct the formula to the side and back of the mouth to prevent aspiration
• feed small amounts and burp frequently
• teach the parents to use a big nipple, stimulate the sucking reflex, swallow and rest to allow the infant to finish swallowing what has been placed in the mouth
• teach parents special feeding or auctioning techniques

Question 13

What should be kept at the bedside

Answer 13

Suction equipment and a bulb syringe

Question 14

What should you teach parents regarding their feelings

Answer 14

Encourage them to express their feelings about the disorder

Question 15

Post Operational Interventions

Answer 15

• provide lip protection to prevent trauma to the suture line
• keep surgical site clean and dry
• keep elbows in soft immobilizes
• avoid placing child on the side of the repair or the prone position
• avoid the use of metal utensils or straws because it may disrupt the surgical site from CLEFT PALATE surgery

Question 16

It is the most common ___ ___ ____.

Answer 16

Congenital craniofacial anomaly