What is a priority of nursing care for an infant after cleft lip repair?
Desired Outcomes
Nursing Interventions | Rationale |
---|---|
Feed the infant slowly and burp frequently. | Burping frequently during a feeding will reduce spitting up and prevent excessive swallowing of air. |
How do you care for a baby after cleft palate surgery?
Drinking and Eating
- Give soft, pureed or mashed foods for 3 weeks.
- Do not give foods that have chunks, lumps or pieces, such as seeds, grains, pulp or skin.
- Do not give hard, crunchy foods such as cold cereal, cookies, crackers or chips.
- Use only a spoon for feeding.
- Do not let your child feed themself.
Which goal is priority after surgical repair of cleft lip?
After Surgery Care. The goal after surgery is to protect the new repair and stitches. For this reason there will be some changes in the child’s feeding, positioning, and activity for a short time. Remember, these are only temporary!
What is the management of cleft palate?
Children with a cleft lip or palate will need several treatments and assessments as they grow up. A cleft is usually treated with surgery. Other treatments, such as speech therapy and dental care, may also be needed. Your child will be cared for by a specialist cleft team at an NHS cleft centre.
What is the appropriate feeding technique to use with an infant who has a cleft palate?
The following are some suggestions to help feed your baby with cleft palate: Observe your infant for a period of sucking, followed by a swallow and a brief period of breathing. Do not squeeze the bottle during the swallowing or breathing phase. Keep the bottle tilted so the nipple is always full of milk.
In which position would the nurse place an infant who just underwent surgery for a cleft lip?
Place your baby in an upright, sitting position to prevent the formula from flowing back into the nose area. Keep the bottle tilted so the nipple is always filled with milk and pointed down away from the cleft. Your baby will move the nipple into the most comfortable position for him/her.
What can I expect after palate repair?
Your child may need pain medicine for the first few days after surgery. The area around your child’s mouth may be swollen for the first 1 to 2 weeks after surgery. Your child may be more fussy than usual. Your child will have stitches in the roof of their mouth that will slowly dissolve.
When providing postoperative care for the child with a cleft palate CP The nurse should position the child in which of the following positions?
Prone. B: Postoperatively children with cleft palate should be placed on their abdomens to facilitate drainage.
When caring for the post operative cleft palate the nurse should position the child?
What happens after cleft palate repair?
What is Rule of 10 in timing of surgical repair of orofacial cleft?
Although not absolute, a general and easy rule for timing of cleft lip repair is a rule of 10s: at least 10 pounds and at least 10 weeks of age. The choice of procedure is up to the plastic surgeon and related to the clinical presentation.
Which tool is used for Gastroduodenostomy?
In terms of blood supply and tension between the reconstructing digestive tract, hemi-double stapling technique with circular stapler is the best procedure for gastroduodenostomy.
Can you nurse a baby with a cleft palate?
Can my baby breastfeed? Babies with a cleft lip, but no cleft palate, can usually breastfeed. With a cleft palate, poor suction can make it very difficult. You can pump your breast milk and feed your baby with a special bottle provided by a feeding specialist or speech therapist.
How do you clean a cleft lip?
Wash the area daily with plain, warm water, and pat it dry. Other cleaning products, such as hydrogen peroxide, can make the wound heal more slowly. Do not use antibiotic ointments on the incision unless your doctor has told you to. Keep the area clean and dry.
Which position is best for cleft palate?
Over half the national specialist centres for cleft palate in the UK advise positioning infants with CP in the lateral position as a routine measure to reduce difficulties with respiration.
When providing postoperative care for the child with a cleft palate the nurse should position the child in which of the following positions?
Which is the best time to surgical repair of cleft palate?
Most times, cleft palate repair is done when the child is older, between 9 months and 1 year old. This allows the palate to change as the baby grows. Doing the repair when the child is this age will help prevent further speech problems as the child develops.
How is Gastroduodenostomy performed?
The surgeon will make an incision in the abdomen to gain access to the stomach. A piece of the stomach will be removed, and the surgeon will reconnect the organ to the rest of the small intestines. In a Billroth I procedure, the surgeon will connect the stomach to the duodenum, or the first part of the small intestine.
Which of the following is appropriate feeding technique for an infant with cleft palate?
How do you feed a cleft patient?
To summarize, apart from the proper feeding positions, these following instructions should also be given to the parents:
- Feed often, at least 8 to 12 times in 24 hours.
- Feeding not to be exhaustive, limit to less than 30 minutes.
- Burping more often, 2 to 3 times during feed.
How do you clean a cleft lip after surgery?
What is the purpose of Gastroduodenostomy?
Gastroduodenostomy is a surgical procedure where the doctor creates a new connection between the stomach and the duodenum. This procedure may be performed in cases of stomach cancer or in the case of a malfunctioning pyloric valve.
What is the other name for Gastroduodenostomy?
[gas″tro-doo″o-dĕ-nos´tah-me] anastomosis between the stomach and the duodenum; called also Billroth I procedure.
Can you eat with cleft palate?
Most babies born with a cleft lip (and no cleft palate) feed well without any special equipment. They usually can breastfeed or use a regular bottle-feeding system. The only change needed might be positioning the nipple so the baby can latch.
What are the nursing care plans for cleft lip and cleft palate?
Here are six (6) nursing diagnosis and nursing care plans (NCP) for cleft lip and cleft palate: Infant will maintain a clear airway as evidenced by clear breath sounds, respiratory rate of 20 to 30 breaths per minute, absence of cyanosis, and respiratory distress.
What is a cleft palate repair?
Cleft palate repair – is surgical repair of congentinal defects in the palate 1. Lack of embryonic development elements of the prepalate (face, lips, premaxilla and incisors) 2. Palate (hard or soft palate, uvula and additional maxillary teeth General anesthesia induction. Local anesthesia with epinephrine is injected to prevent homeostasis
What kind of restraints can a child with cleft palate repair?
The usual type of restraints for the child with a cleft palate repair are: Elbow restraints. Full arm restraints. Wrist restraints. Mummy restraints. A: The least restrictive restraint for the infant with cleft lip and cleft palate repair is elbow restraints.
What can I Feed my Baby after cleft palate surgery?
Your child may drink from a bottle, open cup or sippy cup with a soft spout right after surgery. You may continue to feed your child with the same bottle system used before surgery.For more information on the types of bottles to use, see Helping Hand HH-I-21, Cleft Palate: Feeding Your Baby.