A 4-month-old infant is discharged home after surgery for the ...

[itsmyluck]

A 4-month-old infant is discharged home after surgery for the repair of a cleft lip. What should instructions to the parents include?
 
  a. Provide crib toys for distraction.
  b. Breast- or bottle-feeding can begin immediately.
  c. Give pain medication to the infant to minimize crying.
  d. Leave the infant in the crib at all times to prevent suture strain.

Question 2

What refers to a hernial protrusion of a saclike cyst of meninges, spinal fluid, and a portion of the spinal cord with its nerves through a defect in the vertebral column?
 
  a. Rachischisis
  b. Meningocele
  c. Encephalocele
  d. Myelomeningocele

[lindahyatt42]

Answer to Question 1

ANS: C
Pain medication and comfort measures are used to minimize infant crying. Interventions are implemented to minimize stress on the suture line. Although crib toys are important, the child should not be left in the crib for prolonged periods. Feeding begins with alternative feeding devices. Sucking puts stress on the suture line in the immediate postoperative period. The infant should not be left in the crib but should be removed for appropriate holding and stimulation.

Answer to Question 2

ANS: D
A myelomeningocele has a visible defect with an external saclike protrusion, containing meninges, spinal fluid, and nerves. Rachischisis is a fissure in the spinal column that leaves the meninges and the spinal cord exposed. Meningocele is a hernial protrusion of a saclike cyst of meninges with spinal fluid but no neural elements. Encephalocele is a herniation of brain and meninges through a defect in the skull, producing a fluid-filled sac.

[itsmyluck]

Thank you

[lindahyatt42]

Happy to help you