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PEDIA GROWTH AND DEVT > CLEFT LIP / PALATE > Flashcards

CLEFT LIP / PALATE Flashcards

1
Q

A congenital anomaly that occurs as a result of failure of soft tissue or bony structure to fuse during embryonic
development

A

CLEFT LIP/CLEFT PALATE

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2
Q

A congenital anomaly resulting from the failure of soft tissue to fuse during embryonic development.

A

Cleft lip

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3
Q

A congenital anomaly characterized by a midline or bilateral cleft in the palate, affecting the soft and hard palate.

A

Cleft palate

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4
Q

Factors contributing to cleft lip and palate include

A

genetic, environmental, and teratogenic influences

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5
Q

oncologic drug that is a risk factor of cleft lip/ cleft palate

A

METHOTREXATE- a drug commonly used for treating cancer, arthritis and psoriasis.

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6
Q

can range from a slight notch on to a complete separation from the floor of the nose

A

Assessment for cleft lip

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7
Q

nasal distortion, midline or bilateral cleft, variable extension from the uvula and soft and hard
palate

A

assessment for cleft palate

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8
Q

CL/P

Nursing Intervention for Cleft lip and palate <assessments></assessments>

A
  • Assess the ability to suck, swallow, handle normal secretions and breathe without distress
  • Assess fluid and calorie intake daily
  • And monitor weight
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9
Q

CL/P feeding techniques

Feeding Techniques to assist infants with cleft lip/palate

A
  • using an enlarged nipple
  • stimulating the sucking reflex
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10
Q

CL/P feeding techniques

position during feeding cleft lip/palate

A

upright

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11
Q

CL/P feeding techniques

Direct the formula to the

A

side and back of the mouth

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12
Q

cleft lip/ palate position after feeding

A

position on the side

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13
Q

CL/P nursing intervention

2 things on bedside for cleft lip/palate

A

Keep suction equipment and bulb syringe at bedside

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14
Q

Closure of cleft lip defect is termed as

A

CHEILOPLASTY

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15
Q

CHEILOPLASTY

Closure of cleft lip defect precedes that of the cleft palate and is usually performed during the __ weeks of life

A

first weeks of life

5-8 weeks <mam></mam>

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16
Q

CHEILOPLASTY POST OP

Postoperative Care procedures following cleft lip repair, including positioning

A

Position the child on the side opposite to the repair or on the back

17
Q

CHEILOPLASTY POST OP

avoid __ position to prevent rubbing of the surgical site on the mattress

A

avoid prone

18
Q

CHEILOPLASTY POST OP

name of a lip protector device may be taped securely to the cheeks to prevent trauma to the suture line

A

LOGAN BAR

19
Q

CHEILOPLASTY POST OP

After feeding, cleanse the suture line with

A

plain normal saline solution

20
Q

Prevent the child from crying if possible
Do not let the Logan Bar get wet

A

CHEILOPLASTY POST OP

21
Q

Cleft palate repair is termed as

A

PALATOPLASTY

22
Q

PALATOPLASTY

Cleft palate repair is performed sometime between __ and ___months of age to allow for the palatal changes
that take place with normal growth; a cleft palate is closed before the child develops faulty speech habits

A

12 and 18 months of age

9-12 weeks <mam></mam>

23
Q

The small fleshy structure hanging at the back of the throat, relevant in assessing cleft palate.

A

Uvula

24
Q

PALATOPLASTY post-op position

A

Child is allowed to lie on the abdomen (prone

25
Q

Palatoplasty refers to the repair of the ____; Uranoplasty, on the other hand, refers specifically to the repair of the ____, which involves the hard bony structure.

A

soft palate; hard palate

26
Q

CLEFT PALATE

PALATOPLASTY and URANOPLASTY post op feeding are resumed by

A

paper cup, spoon

27
Q

CLEFT LIP

RHINOPLASTY post op feeding are resumed by

A

rubber-tipped syringe

28
Q

PALATOPLASTY

____ maybe secured to the palate

A

Oral packing

29
Q

PALATOPLASTY

N. MNGT. AVOID 3

A
  • hard foods,
  • contact with sharp objects near repair site,
  • oral suction or placing objects in the mouth
30
Q

PALATOPLASTY

maybe used to keep the child from touching the repair site

A

Soft elbow or jacket restraints

31
Q

POST PALATOPLASTY DOC

A

anagesics for pain

32
Q

CLEFT LIP / PALATE

SIGNS and SYMPTOMS

A
  • Evident @ birth
  • UTZ detection
  • Milk escape to the nostril
  • Frequent URTI [upper respi tract infectiom]
33
Q

CLEFT LIP / PALATE

SIGNS and SYMPTOMS

A
  • Evident @ birth
  • UTZ detection
  • Milk escape to the nostril
  • Frequent URTI [upper respi tract infectiom]
34
Q

what part of the ear that when it is altered on cleft palate surgey that it can be risk to or leads to ear infection

A

EUSTACHIAN TUBE

PEDIA GROWTH AND DEVT (15 decks)

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