The nurse is caring for a 6-month-old with a cleft lip and ...

[soccerdreamer_17]

The nurse is caring for a 6-month-old with a cleft lip and palate. The mother of the child demonstrates understanding of the disorder with which statements? Select all that apply.
 
  A) My smoking during pregnancy didn't have anything to do with this disorder. Smoking primarily causes low birth weight.
  B) I know my baby takes a lot longer to feed than most children this age.
  C) It really worries me that my baby may have some other disorders that haven't been detected yet.
  D) I wonder if my baby will develop speech problems when language development begins?
  E) Thankfully there are doctors that specialize in correcting this type of disorder.

Question 2

The nurse is assessing a 5-year-old child's genitourinary system. Which findings would the nurse document as normal? Select all that apply.
 
  A) Labial fusion
  B) Round abdomen
  C) Positive bowel sounds
  D) Dullness over the spleen
  E) Undescended testicles

[Pswine]

Answer to Question 1

Ans: B, C, D, E
Feeding and speech are especially difficult for the child with cleft lip and palate until the defect is repaired. Cleft lip and palate occurs frequently in association with other anomalies and has been identified in more than 350 syndromes. Plastic surgeons or craniofacial specialists, oral surgeons, dentists or orthodontists, and prosthodontists are some of the physicians that specialize in repair of this disorder. The mother is incorrect in stating that smoking is not associated with cleft lip or palate. Maternal smoking during pregnancy is a major risk factor for the disorder.

Answer to Question 2

Ans: B, C, D
Normal findings include a round abdomen, positive bowel sounds, dullness over the spleen, and descended testicles. Labial fusion, a distended abdomen, and undescended testicles are abnormal findings.