Development: Cleft Palate Flashcards

1
Q

Examples of Congenital Anomalies

A

Cleft Lip/Palate
Neural Tube Defect
Cerebral Palsy

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2
Q

Another word for birth defect

A

congenital anomalies

congenital malformations

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3
Q

Congenital anomalies exist…

A

before birth, may be detected prenatally, at birth, or infancy

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4
Q

Risk factor of CA

A

prenatal care, smoking, alcohol, disease

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5
Q

Common CA

A

cleft palate

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6
Q

Detecting a CA

A

Screening, scans, tests, amnioscentesis

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7
Q

Leading cause of death in infants

A

Congenital anomalies

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8
Q

Etiology of Cleft Palate

A

unknown!

  • combination of genetic and environmental
  • higher incidence of those who smoke, and drinks
  • UNCONTROLLED DIABETES
  • anti seizure/anticonvulsant medications AND accurate
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9
Q

When does a cleft lip occur

A

Within 4-7 weeks gestation

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10
Q

When does cleft palate occur

A

within 6-9 weeks gestation

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11
Q

Unilateral incomplete Cleft Lip

A

one sided not extending into nose

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12
Q

Unilateral complete cleft lip

A

one sided extending into nose

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13
Q

Bilateral complete

A

both sides extending into nose

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14
Q

Incomplete cleft palate

A

In the palate not extending into the nose

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15
Q

Main reason for admission to hospital with cleft palate

A

trouble breast feeding/suctioning

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16
Q

Temporary treatments for Cleft Palate

A
  • Palate bottles
  • Persistent feeding
  • Taping
17
Q

Nursing interventions for cleft palate

A
  1. monitor weight gain
    (consider clothing and time of weighing)
  2. monitor growth and development
    (assess milestones)
18
Q

What is a NAM device

A

Nasal alveolar molding appliance: plastic blue to help shape the palate and nose prior to surgery

19
Q

Surgeries for cleft palate

A
  1. cleft lip repair (10 weeks)
  2. cleft palate repair (6-12 months before speech development)
  3. pharyngoplasty flap procedure
  4. alveolar bone graft: 8-10y
20
Q

When can a normal diet be continuously reintroduced after surgery?

A

Once bowel sounds are present