Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 43: The Child with a Gastrointestinal Alteration Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+

Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 43: The Child with a Gastrointestinal Alteration Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ What is the best response by the nurse to a mother asking about the cause of her infant’sbilateral cleft lip? a. “Did you use alcohol during your pregnancy?” b. “Does anyone in your family have a cleft lip or palate?” c. “This defect is associated with intrauterine infection during the second trimester.” d. “The prevalent of cleft lip is higher in Caucasians.” ANS: B Cleft lip and palate result from embryonic failure resulting from multiple genetic and environmental factors. A genetic pattern or familial risk seems to exist. Tobacco during pregnancy (not drinking) has been associated with bilateral cleft lip. The defect occurred at approximately 6 to 8 weeks of gestation. Second-trimester intrauterine infection is not a known cause of bilateral cleft lip. The prevalence of cleft lip and palate is higher in Asian andNative American populations. PTS: 1 DIF: Cognitive Level: Application/ApplicationREF: p. 960 OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity 2. The postoperative care plan for an infant with surgical repair of a cleft lip includes a. a clear liquid diet for 72 hours. b. nasogastric feedings until the sutures are removed. c. elbow restraints to keep the infant’s fingers away from the mouth. d. rinsing the mouth after every feeding. ANS: C Keeping the infant’s hands away from the incision reduces potential complications at the surgical site. The infant’s diet is advanced from clear liquid to soft foods within 48 hours ofsurgery. After surgery, the infant can resume preoperative feeding techniques. Rinsing the mouth after feeding is an inappropriate intervention. Feeding a small amount of water after feedings will help keep the mouth clean. A cleft lip repair site should be cleansed with a wetsterile cotton swab after feedings. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 962 | Patient-Centered Teaching Box OBJ: Nursing Process: PlanningMSC: Client Needs: Physiologic Integrity