Exam 2 Clef Lip/Palate Practice Questions

Which should be included in the plan of care for a 14-month-old whose cleft palate was repaired 12 hours ago? Select all that apply. A.) Allow the infant to have familiar items of comfort such as a favorite stuffed animal and a "sippy" cup B.) Once liquids have been tolerated, encourage a bland diet such as soup, Jell-O, and saltine crackers C.) Administer pain medication on a regular schedule, as opposed to an as-needed schedule D.) Use a Yankauer suction catheter on the infant's mouth to decrease the risk of aspiration of oral secretions E.) When discharged, remove elbow restraints

A.) Allow the infant to have familiar items of comfort such as a favorite studded animal and a "sippy" cup C.) Administer pain medication on a regular schedule, as opposed to an as-needed schedule

A 2 month old infant w/ a cleft lip is transferred to the pediatric floor immediately following surgical repair of the defect. Which of the following interventions should the nurse perform? A.) Assess placement of elbow restraints B.) Assess placement of the gastrostomy tube C.) Monitor the child for signs of hypokalemia D.) Monitor the child for passage of tarry stools

A.) Assess placement of elbow restraints

The parents of an infant with cleft palate (CP) report the following, "Our child can't eat properly and is not getting proper nutrition." What does the nurse suggest to the parents? A.) "The infant needs to be fed parenterally." B.) "The infant needs a pigeon bottle for feeding." C.) "The infant will eat properly when 5 years old." D.) "The infant will never be able to feed properly."

B.) "The infant needs a pigeon bottle for feeding."

The nurse is caring for an infant whose cleft lip was repaired. Important aspects of this infants postoperative care include: A.) Arm restraints, postural drainage, and mouth irrigations. B.) Cleansing of suture line, supine and side-lying positions, and arm restraints. C.) Mouth irrigations, prone position, and cleansing of suture line. D.) Supine and side-lying positions, postural drainage, and arm restraints.

B.) Cleansing of suture line, supine and side-lying positions, and arm restraints.

A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The physician explained the plan of therapy and its expected good results. However, the mother refuses to see or hold her baby. Initialtherapeutic approach to the mother should be to: A.) Restate what the physician has told her about plastic surgery. B.) Encourage her to express her feelings. C.) Emphasize the normalcy of her baby and the babys need for mothering. D.) Recognize that negative feelings toward the child continue throughout childhood.

B.) Encourage her to express her feelings

A mother who intended to breastfeed has given birth to an infant with a cleft palate. Nursing interventions should include (Select all that apply): A.) Giving medication to suppress lactation. B.) Encouraging and helping mother to breastfeed. C.) Teaching mother to feed breast milk by gavage. D.) Recommending use of a breast pump to maintain lactation until infant can suck.

B.) Encouraging and helping mother to breastfeed D.) Recommending use of abreast pump to maintain lactation until infant can suck

An infant has just returned to the nurse unit after surgical repair of a cleft lip on the right side. The nurse should place the infant in which best position at this time? A.) Prone Position B.) On the stomach C.) Left Lateral Position D.) Right Lateral Position

C.) Left Lateral Position

During the first few days after surgery for cleft lip, which intervention should the nurse do? A.) Leave infant in crib at all times to prevent suture strain. B.) Keep infant heavily sedated to prevent suture strain. C.) Remove restraints periodically to cuddle infant. D.) Alternate position from prone to side-lying to supine.

C.) Remove restraints periodically to cuddle infant

The nurse is caring for a 4 month old who has just had an isolated cleft lip repaired. Select the best position for the child in the immediate post-operative period A.) Right side-lying B.) Left-side lying C.) Supine D.) Prone

C.) Supine

The parents of a newborn diagnosed w/ cleft lip and palate ask the nurse when the child's lip and palate will most likely be repairs. Select the nurse's best response? A.) "The palate and lip are usually repaired in the first few weeks of life so that the baby can grow and gain weight" B.) "The palate the lip are usually not repaired until the baby is about 6 months old so that the mouth has had enough time to grow" C.) "The lip is repaired in the first few months of life, but the palate is not usually repaired until the child is 3 years old" D.) "The lip is repaired in the first few weeks of life, but the palate is not usually repaired until the child is 18 months old"

D.) "The lip is repaired in the first few weeks of life, but the palate is not usually repaired until the child is 18 months old."

Caring for the newborn with a cleft lip and palate before surgical repair includes: A.) Gastrostomy feedings. B.) Keeping the infant in near-horizontal position during feedings. C.) Allowing little or no sucking. D.) Providing satisfaction of sucking needs.

D.) Providing satisfaction of sucking needs