Development: Cleft Palate Flashcards
Examples of Congenital Anomalies
Cleft Lip/Palate
Neural Tube Defect
Cerebral Palsy
Another word for birth defect
congenital anomalies
congenital malformations
Congenital anomalies exist…
before birth, may be detected prenatally, at birth, or infancy
Risk factor of CA
prenatal care, smoking, alcohol, disease
Common CA
cleft palate
Detecting a CA
Screening, scans, tests, amnioscentesis
Leading cause of death in infants
Congenital anomalies
Etiology of Cleft Palate
unknown!
- combination of genetic and environmental
- higher incidence of those who smoke, and drinks
- UNCONTROLLED DIABETES
- anti seizure/anticonvulsant medications AND accurate
When does a cleft lip occur
Within 4-7 weeks gestation
When does cleft palate occur
within 6-9 weeks gestation
Unilateral incomplete Cleft Lip
one sided not extending into nose
Unilateral complete cleft lip
one sided extending into nose
Bilateral complete
both sides extending into nose
Incomplete cleft palate
In the palate not extending into the nose
Main reason for admission to hospital with cleft palate
trouble breast feeding/suctioning
Temporary treatments for Cleft Palate
- Palate bottles
- Persistent feeding
- Taping
Nursing interventions for cleft palate
- monitor weight gain
(consider clothing and time of weighing) - monitor growth and development
(assess milestones)
What is a NAM device
Nasal alveolar molding appliance: plastic blue to help shape the palate and nose prior to surgery
Surgeries for cleft palate
- cleft lip repair (10 weeks)
- cleft palate repair (6-12 months before speech development)
- pharyngoplasty flap procedure
- alveolar bone graft: 8-10y
When can a normal diet be continuously reintroduced after surgery?
Once bowel sounds are present
