part 2

Question 1

What are the management goals for a child with a cleft lip and/or palate?

Answer 1

closure of cleft
prevention of complications
normal G and D
assess family reaction/response

Question 2

Explain preop care of a baby with a cleft?

Answer 2

• assess respiratory, ability to suck

- feeding: upright, slowly, burp, unaffected side, use unique nipples and feeders (elongated nipple or breast shield)

Question 3

this plastic surgery of the lip at 2-3 months may need cosmetic mods at age 4-5

Answer 3

cheiloplasty

Question 4

Explain surgical repair of cleft lip.

Answer 4

• closure of lip before palate
• z plasty to minimize retraction of the scar
• protect suture lip with logan bow

Question 5

When is a cleft surgery typically done?

What is the prognosis?

Answer 5

-typically 12-18 months
-prognosis: may need additional surgeries
and speech therapy

Question 6

What type of psychosocial support can we give parents of children with a cleft lip?

Answer 6

• encourage to verbalize fears, emotions, etc

- refer to community support

Question 7

What type of temp should not be taken for a child with a cleft? esp post surgery.

Answer 7

no oral temp

Question 8

What are some specific post-op implementation for cleft lip and palate?

Answer 8

-no oral temp
-no strain, pacifiers, spoons, or fingers in or around the mouth for 7-10 days (nothing in mouth)
-syringe technique
-soft foods, child may not feed himself
elbow restraints
-no tooth brushing
-clean lip suture line out
-petroleum jelly
-supine or side lying
-analgesics and sedatives

Question 9

What are some causes of acute diarrhea?

Answer 9

viral, bacterial, parasitic infections (gastroenteritis)

Question 10

What are some causes of chronic diarrhea?

Answer 10

• malabsorption conditions
• IBD
• immune deficiencies
• food allergy
• lactose intolerance
• poor management of acute diarrhea
• stress