PEDS GI
At which age is cleft lip usually repaired?
3-6months
Which developmental factor is delayed in a patient with cleft lip and cleft palate?
A delay in speech- Speech therapist should be involved
What is the post op medical treatment for cleft lip and cleft palate?
Antibacterial ointment, analgesics, sedatives
The nurse is preparing to care for a child with a diagnosis of INTUSSUSCEPTION. The nurse reviews the child's record and expects to note which sign of this disorder documented?
Bright red blood and mucus in the stools
The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia with tracheoesophageal fistula is suspected. The nurse expects to note which most likely sign of this condition documented in the record?
Choking with feedings
The nurse is caring for a newborn with a suspected diagnosis of imperforate anus? The nurse monitors the infant, knowing that which is a clinical manifestation associated with this disorder?
Failure to pass meconium stool in the first 24 hours after birth.
What patient teaching can you give a parent who is caring for an infant with cleft palate and cleft lip?
Feed pt upright allow time for feedings Burp frequently
The clinic nurse reviews the record of an infant and notes that the health care provider has documented a diagnosis of suspected Hirschsprung's disease. The nurse reviews the assessment findings documented in the record, knowing that which sign most likely led the mother to seek health care for the infant?
Foul-smelling ribbon-like stools
An infant has just returned to the nursing unit after surgical repair of a cleft lip on right side. The nurse should place the infant in which best position at this time?
Left lateral position
A child is hospitalized because of persistent vomiting. The nurse should monitor the child closely for which problem?
Metabolic alkalosis
What is imperforate anus?
No anal opening
What is some post surgical interventions that a nurse should keep in mind for a patient who has had cleft lip and cleft palate repair?
No oral temps No straws, pacifiers, spoons or fingers in or around mouth for 7-10 days Cleft lip: resume pre-op feeding techniques Cleft palate: Liquids ok from cup, no straws, soft foods allowed from the side of the mouth NO SELF FOR FEED NO TOOTH BRUSHING FOR 1-2 WEEKS
The nurse admits a child to the hospital with a diagnosis of pyloric stenosis. On assessment, which data would the nurse expect to obtain when asking the parent about child's symptoms?
Projectile Vomiting
What is cleft palate?
The roof of the mouth is open to the nasopharynx.
When is cleft palate repaired?
Usually between 6 -24 months of age. The time of cleft palate repair is individualized
When is cleft palate involvement seen?
Visable on NB exam
What is anal stenosis?
narrowing of anal opening
What is cleft lip?
opening from the lip to the nares
What is that patient at risk with cleft palate and cleft lip?
otits media, sensory risk and orthodontist (may require braces)
