30 Questions
What causes cleft lip and cleft palate?
Chromosomal abnormalities, exposure to teratogens, genetic mutations, or environmental factors
What type of cleft palate involves both the hard and soft palate?
Complete cleft palate
What is a double cleft?
A cleft that runs from the soft palate forward to either side of the nose
Which medication is known to increase the risk of cleft lip and palate when taken during pregnancy?
Topiramate
What can decrease the risk of isolated cleft lip with or without cleft palate?
Daily maternal use of folic acid (400 mcg or more)
What is recommended for women of childbearing age to reduce the risk of cleft lip and palate?
Take a daily multivitamin containing folic acid until menopause or until they're no longer fertile
What is the primary surgical management for cleft lip?
Cheiloplasty
At what age is palatoplasty typically performed?
9-14 months
Which intervention may be necessary during the neonatal period for significant airway obstruction?
Tracheostomy
What is the primary purpose of the lip-taping regimen?
To narrow the gap in the child's cleft lip
Which intervention is recommended for an infant with a cleft lip who cannot effectively suckle at the breast?
Express milk for bottle, cup, spoon, or syringe feeding
What is the purpose of the nasal alveolar molding (NAM) technique?
To help mold the lip tissue into a more favorable position for lip repair
What specialized feeding devices are recommended for formula feeding infants with cleft lip or palate?
Preemie nipples with enlarged or cross-cut openings and bottles designed for cleft lip or palate
What should be done to assist with feeding infants with cleft lip or palate?
Position the infant upright during feedings
What should be done to monitor the infant's weight gain?
Weigh the infant daily using the same scale, time, and clothing
How should healthcare providers interact with the family of an infant with cleft lip or palate?
Actively listen, answer questions honestly, and encourage family participation
What should healthcare providers emphasize when discussing the infant's appearance?
Point out positive aspects and note that the appearance will be improved after surgical correction
What postoperative care should parents be informed about if surgical repair is planned during the neonatal period?
The infant will need to wear elbow restraints to reduce the risk of complications
Which intervention is NOT recommended for post-operative care in the given scenario?
Suctioning or inserting hard objects in the mouth
What is the primary characteristic of Kwashiorkor, a severe protein deficiency disorder?
Pitting edema and an apathetic appearance
Which of the following statements about Marasmus is NOT true?
It is characterized by the presence of pitting edema
What is the main symptom associated with Tracheoesophageal Fistula (TEF)?
Difficulty swallowing and digesting food
Which of the following is NOT a characteristic of Type A (Atresia) Tracheoesophageal Fistula?
It usually occurs in children over 1 year old
What are the 3C's associated with Tracheoesophageal Reflux?
Coughing, Choking, Crying
Which type of TEF involves the upper portion of the esophagus being cut off from the stomach?
Type B
In which type of TEF does one end of the esophagus stick to the trachea?
Type C
Which nursing intervention is aimed at addressing the risk of aspiration in TEF patients?
Assessing cough and gag reflexes
What is the primary nursing intervention for addressing ineffective coping in TEF patients and their families?
Encouraging verbalization of emotions
In which type of TEF are both ends of the cut esophagus connected to the trachea?
Type D
What nursing intervention is recommended for addressing ineffective airway clearance in TEF patients?
Performing chest physiotherapy
Learn about the pathophysiology of cleft lip and cleft palate, including causes such as chromosomal abnormalities, exposure to teratogens, and genetic abnormalities. Understand the failed fusion during the 6th and 7th week of gestation that leads to oro-facial defects.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
