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Pediatrics-MJ > T2-GI Disorders: Cleft Lip/Palate > Flashcards

T2-GI Disorders: Cleft Lip/Palate Flashcards

1
Q

Cleft lip with or without Cleft palate is more common in males or females?

A

Males

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2
Q

Cleft palate alone is more common in males or females?

A

Females

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3
Q

Is cleft lip/palate familial?

A

Yes

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4
Q

Cleft lip/palate is familial, can occur with associated defects with other _____ abnormalities, or environmental _____

A

With other chromosomal abnormalities or environmental teratogens

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5
Q

Cleft lip is a failure of the ____ & _____ processes to fuse

A

Maxillary and median nasal processes

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6
Q

The merging of the upper lip at midline is complete by ____

A

7-8 weeks gestation

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7
Q

When does cleft palate appear?

A

When there is failure of the palatal shelves to fuse

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8
Q

When do the palatal shelves fuse?

A

7-12 weeks gestation; tongue has to get out of the way in order for palates to fuse

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9
Q

Can you have cleft lip without cleft palate?

A

Yes

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10
Q

Can you have cleft palate without cleft lip?

A

Yes

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11
Q

Can you have both cleft palate and lip together?

A

Yes

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12
Q

Which is this: Cleft palate or lip

Involves soft palate, hard, palate or both

A

Cleft palate

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13
Q

Cleft lip is only unilateral. T/F?

A

FALSE; it can be unilateral or bilateral

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14
Q

If unilateral, under a nostril may be a ___ in lip or go all the way up into the floor of the nose.

A

Notch

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15
Q

What else is going on in the first trimester?

A

N/V, so some docs don’t give prenatal vitamins or pt. may not be getting full benefit of taking vitamins

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16
Q

What can help prevent cleft?

A

Folic acid

17
Q

____ defects affected by folic acid

A

Midline

18
Q

What is the goal for cleft lip/palate?

A
  • Closure of the clients
  • Prevention of complications
  • Facilitation of normal growth and development
19
Q

Is it better to breast or bottle feed a baby?

A

Breast; the breast will conform better to odd shape of the lips

20
Q

What is the surgical correction for cleft lip?

A

Z-plasty

21
Q

Z-plasty is for the correction of cleft lip. When is this procedure usually done?

A

6-12 weeks of age in healthy infant

22
Q

How is cleft palate surgically fixed?

A

Palatoplasty

23
Q

Palatoplasy is the procedure for the correction of cleft palate. When is this usually done?

A

12-18 months; repaired right before development of speech

24
Q

What is harder to repair: cleft lip or cleft palate?

A

Cleft palate–nothing to work with, so as they grow, the cleft in the palate will get smaller (if wait too long, its hard to repair)

25
Q

What is the post-operative care for cleft lip goal?

A

Protection of surgical site

26
Q

What are the 5 ways to achieve the goal of “protection of surgical site” for a post-operative care for cleft lip?

A
  1. Never position on stomach
  2. Elbow restraints
  3. Oral and wound care
  4. Comfort measures/pain control
  5. Logan’s bar or steri strips
27
Q

Used to hold and protect suture line

A

Logan’s bar or steri strips

28
Q

Cleft lip: Post op

What are immediate nursing problems?

A

Bleeding
Infant upset
Nose breathers (so won’t be able to breathe through nose–inflammation)

29
Q

Cleft palate post op:

  • ____ restraints
  • Issues with ____ because of where suture line is
  • Frequent swallowing= sign of ____
  • Sucking pacifers or straws allowed?
  • Avoid what till healed?
A
  • Elbow restraints
  • Issues with AIRWAY
  • Sign of BLEEDING
  • Sucking pacifers or straws= NO
  • Avoid UTENSILS till healed
30
Q

Cleft palate post op:

Progress diet to?

A

Slenderized food with progression to soft diet

31
Q

Cleft palate: Post op?

How do they drink?

A

Cup

32
Q

Cleft palate: Post op

What are some complications?

A
  • Middle ear infections
  • Nasopharyngeal infections
  • Sinus infections
  • Associated hearing loss
  • Speech delay
33
Q

What is the long term cleft palate/cleft lip goal?

A

Enhance or maintain a positive self-image

34
Q

Who else may be involved with cleft palate/cleft lip?

A

Speech therapy

Orthodontist

35
Q

What are some psychosocial issues for parents of cleft lip/cleft palate children?

A
  • Trouble bonding with child
  • Grieft
  • Realizing child is not perfect
  • Financial support
  • Teaching them physical care of infant
  • Routine health maintained
  • Seek med care early in illness
  • Concerns over speech

Pediatrics-MJ (61 decks)

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