Cleft Lip & Palate Flashcards
what are common problems associated with cleft lip & palate
feeding difficulties
URI
otitis media
which week of embryonic development does cleft lip occur
7th
which weeks of embryonic development does cleft palate occur
5-12
what are risk factors
family history
folate deficiency
environmental influences
genetic predisposition
what is the incidence
1 in 700
does this occur more often in boys or girls
boys
which side does this most often occur on
left
what is the nursing goal
to provide optimum nutrition
what does ESSR stand for
enlarge nipples
stimulate suck
rest after each swallow
how should the infant be positioned after feeding
upright or on side
when is surgery for cleft lip done
first few days to 3 months
what must the infant be free of prior to surgery
no oral, respiratory, or systemic infection
how many hours post op is feeding started
4-6 hours
at which age is cleft palate surgically repaired
6 months to 2 years
what must the child be weaned to before surgery
drinking from a cup
how should the infant be positioned after surgery
on abdomen
the child cannot use straws, pacifiers, or spoons for how long post op
7-10 days
what are 2 early complications post op cleft palate
bleeding
respiratory complications
what are 3 later complications post op cleft palate
separation
infection
scarring