Which nursing intervention is most helpful to parents of a ...

[rachel9]

Which nursing intervention is most helpful to parents of a neonate with bilateral cleft lip?
 
  a. Assure the parents that the correction will be immediate and uncomplicated.
  b. Show the parents before-and-after pictures of an infant whose cleft lip has been successfully repaired.
  c. Teach the parents about long-term enteral feedings.
  d. Refer the parents to a community agency that addresses this problem.

Question 2

Which is the best nursing response to a mother asking about the cause of her infant's bilateral cleft lip?
 
  a. Did you have trouble with this pregnancy?
  b. Do you know of anyone in your or the father's family born with cleft lip or palate problems?
  c. This defect is associated with intrauterine infection during the second trimester..
  d. Was your husband in the military and in-volved in chemical warfare?

[nikmaaacs]

Answer to Question 1

B
Showing the parents pictures of successful lip repair promotes bonding and enhances coping ability. Correction is usually done around 4 weeks but may be done as early as 2 to 3 days after birth. The infant with a bilateral cleft lip can be fed orally using a compressible, longer nipple, and by making a larger hole in the nipple. Long-term enteral feedings are not usually indicated. A community agency referral is not appropriate at this time and may not be indicated long term.

Answer to Question 2

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. A troublesome pregnancy has not 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. Chemical warfare is not significantly associated with bilateral cleft lip and palate.

[rachel9]

Excellent

[ryansturges]

Gracias!