Podcast
Questions and Answers
What is the recommended age range for the surgical repair of a cleft palate?
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?
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?
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?
What is the preferred initial treatment for hip dysplasia in infants aged 1 to 6 months?
Why should parents use elbow restraints for an infant with a cleft lip?
Why should parents use elbow restraints for an infant with a cleft lip?
Which of the following feeding methods is recommended for an infant with a cleft lip?
Which of the following feeding methods is recommended for an infant with a cleft lip?
Which sign is NOT a manifestation of hip dysplasia?
Which sign is NOT a manifestation of hip dysplasia?
What position should an infant with a cleft lip be in while feeding?
What position should an infant with a cleft lip be in while feeding?
Which of the following manifestations is associated with hydrocephalus?
Which of the following manifestations is associated with hydrocephalus?
What is the primary treatment option indicated for infants with clubfoot if serial casting does not show improvement by 3 months?
What is the primary treatment option indicated for infants with clubfoot if serial casting does not show improvement by 3 months?
Which of the following is NOT a recommended teaching point for managing an infant with hydrocephalus?
Which of the following is NOT a recommended teaching point for managing an infant with hydrocephalus?
In the context of clubfoot treatment, what is a crucial aspect to monitor regarding circulation?
In the context of clubfoot treatment, what is a crucial aspect to monitor regarding circulation?
What is a common manifestation of hydrocephalus in infants that may indicate increased intracranial pressure?
What is a common manifestation of hydrocephalus in infants that may indicate increased intracranial pressure?
Flashcards
What is a cleft palate?
What is a cleft palate?
A birth defect where the roof of the mouth doesn't fully close, creating an opening, it may involve just the soft palate or both the soft and hard palate.
What is a cleft lip?
What is a cleft lip?
A birth defect where the upper lip doesn't fully join during pregnancy, creating a split or gap. It can be a small notch or a wider opening.
When is cleft palate surgery typically performed?
When is cleft palate surgery typically performed?
Surgery to repair a cleft palate is generally done between 12 and 18 months of age.
When is cleft lip surgery typically performed?
When is cleft lip surgery typically performed?
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What is hip dysplasia?
What is hip dysplasia?
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What are some signs of hip dysplasia?
What are some signs of hip dysplasia?
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What is the purpose of treatment for hip dysplasia?
What is the purpose of treatment for hip dysplasia?
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What is a Pavlik harness?
What is a Pavlik harness?
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What is clubfoot?
What is clubfoot?
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What is hydrocephalus?
What is hydrocephalus?
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What is a VP shunt?
What is a VP shunt?
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What is compartment syndrome?
What is compartment syndrome?
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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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