Cleft Palate and Hip Dysplasia Overview
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Questions and Answers

What is the recommended age range for the surgical repair of a cleft palate?

  • 24 to 36 months
  • 6 to 12 months
  • 12 to 18 months (correct)
  • 18 to 24 months
  • What is an important feeding consideration for an infant with a cleft lip?

  • Feeding should only be done with a regular nipple.
  • Do not place infants on their abdomen while feeding. (correct)
  • The infant should suck vigorously to stimulate the incision.
  • Feeding should be done in a prone position.
  • Which of the following is a manifestation of hip dysplasia?

  • No visible signs during a physical examination
  • Decreased range of motion in the arm
  • Increased mobility of the knee joint
  • Asymmetry of skin folds on the affected thigh (correct)
  • What is the preferred initial treatment for hip dysplasia in infants aged 1 to 6 months?

    <p>Pavlik harness usage</p> Signup and view all the answers

    Why should parents use elbow restraints for an infant with a cleft lip?

    <p>To prevent the infant from scratching the incision</p> Signup and view all the answers

    Which of the following feeding methods is recommended for an infant with a cleft lip?

    <p>Syringe with a rubber tip or long nipple attached to a squeeze bottle</p> Signup and view all the answers

    Which sign is NOT a manifestation of hip dysplasia?

    <p>Symmetrical skin folds on thighs</p> Signup and view all the answers

    What position should an infant with a cleft lip be in while feeding?

    <p>Upright position</p> Signup and view all the answers

    Which of the following manifestations is associated with hydrocephalus?

    <p>Increase in head size</p> Signup and view all the answers

    What is the primary treatment option indicated for infants with clubfoot if serial casting does not show improvement by 3 months?

    <p>Surgery</p> Signup and view all the answers

    Which of the following is NOT a recommended teaching point for managing an infant with hydrocephalus?

    <p>Check for compartment syndrome</p> Signup and view all the answers

    In the context of clubfoot treatment, what is a crucial aspect to monitor regarding circulation?

    <p>Capillary refill in toes</p> Signup and view all the answers

    What is a common manifestation of hydrocephalus in infants that may indicate increased intracranial pressure?

    <p>Bulging fontanelles</p> Signup and view all the answers

    Study Notes

    Malformations

    • Cleft Palate: Surgical repair typically between 12 and 18 months. Parents should be taught feeding techniques and use special nipples.
    • Cleft Lip: Repair is typically before 6 months. Techniques can include using elbow restraints to prevent scratching of the incision site, as well as syringe feeding using a rubber tip, long nipple, or squeeze bottle to deliver formula or breast milk. Avoid sucking motions to reduce suture line tension. Do not place infants on their abdomen. Feed infants in an upright position.

    Hip Dysplasia

    • Manifestations: Limited abduction of the affected leg. Knee on the affected side is lower than the unaffected side. Skin folds on the affected thigh are deeper and often asymmetrical. One buttock may appear higher than the other when the infant is in a prone position.
    • Diagnosis: Early on, detection of hip dysplasia can be challenging, but it is important to monitor for asymmetry or limited abduction.
    • Treatment: Starts immediately upon detection. Maintaining the hips in constant flexion and abduction for 4-8 weeks helps keep the femur head within the hip socket. Treatment options include Pavlik harness (1-6 months) or Spica cast (several months). A diagnosis can usually be made by 4 to 8 weeks of age.

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    Description

    This quiz covers essential information about cleft palate and hip dysplasia, including their surgical repair techniques and treatment methods. It is crucial for parents and caregivers to understand the necessary feeding techniques and manifestations of these conditions. Test your knowledge on these malformations and their management.

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