Cleft Lip Repair – Post Op Care

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CLEFT LIP

C-Choking

L-Lie on back

E-Evaluate Airway

F-Feed Slowly

T-Teaching

L-Larger nipple opening

I-Increased incidence in males

P-Prevent crust formation and aspiration

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Cleft lip is a congenital slit in the skin above the lip, typically also associated with a cleft palate. The typical treatment is reconstructive surgery. Post op care includes monitoring for choking. Baby should lie on their back during sleep to prevent trauma to sutures. Make sure to evaluate the airway and ensure it is open and monitor for aspiration. Feed the baby slowly in an upright position with a larger nipple opening. Prevent crust formation. Lastly, provide teaching to parents regarding feeding and common care.

Lessons Related To Cleft Lip Repair – Post Op Care

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Cleft Lip Repair – Post Op Care Nursing Mnemonic (CLEFT LIP)

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Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate

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7 Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate NCLEX Questions

Question 1 of 7

The parents of a one-week-old with a cleft palate demonstrate understanding of the diagnosis by making which of the following statements?

“Our child will not need surgery”

“Our child will need to have surgery between six and 24 months”

“Our child will need surgery as soon as possible”

“Our child will need to have surgery between three to six months of age

Question 2 of 7

A 10-month-old child is recovering from a cleft lip repair, and the provider has determined the child would benefit from restraints post-operatively. Which kind of restraints would the nurse most likely apply to this child?

None, unless the child demonstrated being uncooperative

A jacket restraint

Elbow restraints

A mummy restraint

Question 3 of 7

The nurse caring for an 18-month-old who has just had his cleft palate repaired knows which of the following interventions is a top priority?

"Making sure the child uses a straw to protect the operative site”

“Placing the child in the prone position to prevent choking”

“Providing the child with a pacifier to promote oral development”

“Placing elbow immobilizers on the child’s arms”

Question 4 of 7

A nurse is educating parents on feeding techniques for their newborn who has a cleft lip and a cleft palate. The nurse accurately includes which of the following teaching points? Select all that apply.

“Your child will need to use a specialized bottle”

“Positioning the baby on their back during feeds will reduce the risk of choking”

“You should be able to breastfeed if you want”

“You will need to pause during feeds to burp your child”

“Positioning the baby in an upright position during feeds will reduce the risk of choking”

Question 5 of 7

An infant has a cleft palate. The nurse knows that this infant should be in which of the following positions to prevent prolapse of the tongue?

Supine

Fowler's

Trendelenburg

Prone

Question 6 of 7

The nurse caring for a one-month-old with cleft lip and cleft palate knows which of the following is the most concerning complication of this diagnosis?

Weight-loss

Infection

Bleeding

Constipation

Question 7 of 7

The nurse caring for a three-week-old with a cleft palate prioritizes which of the following nursing interventions?

Applying elbow immobilizers to the child’s arms

Monitoring respiratory status

Providing the parents with thickened formula

Placing an NG tube

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Score an 80% or better on these Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate questions to master this lesson.

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Cleft Lip and Palate

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7 Cleft Lip and Palate NCLEX Questions

Question 1 of 7

An infant has a cleft palate. The nurse knows that this infant should be in which of the following positions to prevent prolapse of the tongue?

Trendelenburg

Prone

Supine

Fowler's

Question 2 of 7

The nurse caring for a three-week-old with a cleft palate prioritizes which of the following nursing interventions?

Applying elbow immobilizers to the child’s arms

Placing an NG tube

Providing the parents with thickened formula

Monitoring respiratory status

Question 3 of 7

None, unless the child demonstrated being uncooperative

A mummy restraint

A jacket restraint

Elbow restraints

Question 4 of 7

The nurse caring for a one-month-old with cleft lip and cleft palate knows which of the following is the most concerning complication of this diagnosis?

Infection

Bleeding

Constipation

Weight-loss

Question 5 of 7

The parents of a one-week-old with a cleft palate demonstrate understanding of the diagnosis by making which of the following statements?

“Our child will need surgery as soon as possible”

“Our child will not need surgery”

“Our child will need to have surgery between three to six months of age

“Our child will need to have surgery between six and 24 months”

Question 6 of 7

“Positioning the baby on their back during feeds will reduce the risk of choking”

“Your child will need to use a specialized bottle”

“You should be able to breastfeed if you want”

“Positioning the baby in an upright position during feeds will reduce the risk of choking”

“You will need to pause during feeds to burp your child”

Question 7 of 7

The nurse caring for an 18-month-old who has just had his cleft palate repaired knows which of the following interventions is a top priority?

“Placing elbow immobilizers on the child’s arms”

“Placing the child in the prone position to prevent choking”

"Making sure the child uses a straw to protect the operative site”

“Providing the child with a pacifier to promote oral development”

What email should we send your results to?

I understand I will receive future communications from NURSING.com and agree to the Privacy Policy.

Score an 80% or better on these Cleft Lip and Palate questions to master this lesson.

Cleft Lip Repair – Post Op Care

CLEFT LIP

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