Author Question: The nurse is planning care for a newborn with a cleft lip and palate scheduled for surgery in a few ... (Read 48 times)

cartlidgeashley · **on:** Jun 27, 2018

The nurse is planning care for a newborn with a cleft lip and palate scheduled for surgery in a few weeks. For which health need will the nurse focus when planning this patient's care?

A) Visual stimulation
B) Nutritional support
C) Prevention of pneumonia
D) Prevention of oral infection

Question 2

A woman is to undergo an amnioinfusion. Which statement would be most appropriate to include when teaching the woman about this procedure?

A) You'll need to stay in bed while you're having this procedure..
B) We'll give you an analgesic to help reduce the pain..
C) After the infusion, you'll be scheduled for a cesarean birth..
D) A suction cup is placed on your baby's head to help bring it out..

InfiniteSteez · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback:
: Before a cleft lip or palate is repaired, feeding the infant becomes a concern because the infant has difficulty maintaining suction with a bottle or breast. Nutritional support is of the highest priority at this time. Visual stimulation is not a concern for the infant with a cleft lip and palate. Prevention of pneumonia and an oral infection are more appropriate concerns after surgery has occurred.

Answer to Question 2

A
Feedback:
An amnioinfusion involves the instillation of a volume of warmed, sterile normal saline or Ringer's lactate into the uterus via an intrauterine pressure catheter. The client must remain in bed during the procedure. The use of analgesia is unrelated to this procedure. A cesarean birth is necessary only if the FHR does not improve after the amnioinfusion. Application of a suction cup to the head of the fetus refers to a vacuum-assisted birth.