How does cleft lip form? - ANSWERS-Incomplete fusion of oral cavity
How does cleft palate occur? - ANSWERS-Incomplete fusion of the
palatine plates
What is the assessment for cleft lip and cleft palate? - ANSWERS-Other
syndromes?
Family hx?
Prenatal care?
Observation of visible separation of each respective cleft
What is the nursing care for cleft lip and cleft palate? - ANSWERS-
Support and education
Promote bonding
Promote self-esteem through development
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, NURS 307 EXAM 2 LATEST
Work with OT, surgeon, orthodontist, ENT, SLT, dietician, etc
When should surgery for cleft lip be performed? - ANSWERS-2-3
months of life
When should surgery of cleft palate be performed? - ANSWERS-Repair
at 6-12 months
What are the pre-op considerations for cleft lip? - ANSWERS-
Encourage breast feeding
Wide based nipples for bottles
Squeeze cheeks to decrease gap
What are the pre-op considerations for cleft palate or CL/CP? -
ANSWERS-Upright position and cradle head with feeds
Special bottle one way valve and special nipple
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, NURS 307 EXAM 2 LATEST
Frequent burps
Syringe feeds
What are post-op considerations for CL and CP? - ANSWERS-Pain
management
Surgical site care
Elbow restrains (soft elbow immobilizers)
Avoid pacifiers
Spoons
Forks
What is a post-op consideration for CL? - ANSWERS-Supine, side lying
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What is a post-op consideration for CP? - ANSWERS-May be prone,
facilitate drainage, NPO then slow progression to soft diet
What is the education for CL and CP? - ANSWERS-Diet and feeding
techniques
What are complications of CL and CP? - ANSWERS-Altered structure,
recurrent infections
Ear infections
Speech/language impairments in CP
Dental problems, abnormal eruption
What is the nursing care for high risk newborns? - ANSWERS-Monitor
physiologic data
Respiratory support
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