Author Question: The nurse is planning postoperative care for an infant after a cleft-lip repair. The plan should ... (Read 33 times)

Mr. Wonderful · **on:** Jun 27, 2018

The nurse is planning postoperative care for an infant after a cleft-lip repair. The plan should include

1. prone positioning.
2. suctioning with a Yankauer device.
3. supine or side-lying positioning.
4. avoidance of soft elbow restraints.

Question 2

The nurse is planning an in-service educational program to talk about disseminated intravascular coagulation (DIC).

The nurse should identify which conditions as risk factors for developing DIC? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Diabetes mellitus
2. Abruptio placentae
3. Prolonged retention of a fetus after demise
4. Multiparity
5. Preterm labor

wuly · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:3
Rationale:Integrity of the suture line is essential for postoperative care of cleft-lip repair. The infant should be placed in a supine or side-lying position to avoid rubbing the suture line on the bedding. The prone position should be avoided. A Yankauer suction device is made of hard plastic and,if used,could cause trauma to the suture line.Suctioning should be done with a small,soft suction catheter.Soft elbow restraints may be used to prevent the infant from touching the incisional area.

Answer to Question 2

2,3
Rationale 1: Diabetes does not cause the release of thromboplastin that triggers DIC.
Rationale 2: Abruptio placentae leaves intrauterine arteries open and bleeding. This results in the release of thromboplastin into the maternal blood supply and triggers the development of DIC.
Rationale 3: In prolonged retention of the fetus after demise, thromboplastin is released from the degenerating fetal tissues into the maternal bloodstream, which activates the extrinsic clotting system. This triggers the formation of multiple tiny clots, which deplete the fibrinogen and factors V and VII, and result in DIC.
Rationale 4: Multiparity does not cause the release of thromboplastin that triggers DIC.
Rationale 5: Preterm labor does not cause the release of thromboplastin that triggers DIC.