Cleft Lip & Palate Flashcards

1
Q

what are common problems associated with cleft lip & palate

A

feeding difficulties
URI
otitis media

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2
Q

which week of embryonic development does cleft lip occur

A

7th

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3
Q

which weeks of embryonic development does cleft palate occur

A

5-12

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4
Q

what are risk factors

A

family history
folate deficiency
environmental influences
genetic predisposition

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5
Q

what is the incidence

A

1 in 700

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6
Q

does this occur more often in boys or girls

A

boys

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7
Q

which side does this most often occur on

A

left

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8
Q

what is the nursing goal

A

to provide optimum nutrition

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9
Q

what does ESSR stand for

A

enlarge nipples
stimulate suck
rest after each swallow

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10
Q

how should the infant be positioned after feeding

A

upright or on side

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11
Q

when is surgery for cleft lip done

A

first few days to 3 months

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12
Q

what must the infant be free of prior to surgery

A

no oral, respiratory, or systemic infection

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13
Q

how many hours post op is feeding started

A

4-6 hours

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14
Q

at which age is cleft palate surgically repaired

A

6 months to 2 years

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15
Q

what must the child be weaned to before surgery

A

drinking from a cup

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16
Q

how should the infant be positioned after surgery

A

on abdomen

17
Q

the child cannot use straws, pacifiers, or spoons for how long post op

A

7-10 days

18
Q

what are 2 early complications post op cleft palate

A

bleeding

respiratory complications

19
Q

what are 3 later complications post op cleft palate

A

separation
infection
scarring