Postoperative Care of Infants

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What is the recommended positioning of an infant after a cleft lip repair?

In a horizontal position to promote circulation
On the back upright to prevent airway obstruction (correct)
On the stomach to reduce friction on the surgical site
On the side of the repair or in the prone position

Why is it essential to keep the surgical site clean and dry?

To promote wound healing and prevent infection (correct)
To prevent pain and discomfort
To reduce scarring and promote cosmetic appeal
To ease feeding and digestion

What is the purpose of using elbow restraints in post-operative care?

To reduce anxiety and stress
To aid in feeding and digestion
To prevent the infant from touching the surgical site (correct)
To promote flexibility and range of motion

What is the recommended method of feeding an infant after a cleft palate repair?

Using an Asepto syringe or soft cup (B) Signup and view all the answers

Why is it essential to instruct parents on feeding techniques and surgical site care?

To prevent complications and promote healing (C) Signup and view all the answers

What is the purpose of monitoring for signs of infection at the surgical site?

To identify potential complications and initiate early treatment (A) Signup and view all the answers

Why is it important to remove elbow restraints regularly?

To assess skin integrity and circulation (D) Signup and view all the answers

What is the purpose of using antibiotic ointment on the surgical site?

To prevent infection and promote healing (C) Signup and view all the answers

What is the primary goal of assessing the ability to suck, swallow, handle normal secretions, and breathe without distress in an infant with cleft lip and palate?

To identify the risk of aspiration during feeding (C) Signup and view all the answers

What is the purpose of holding the infant in an upright position and directing the formula to the side and back of the mouth during feeding?

To facilitate swallowing and reduce the risk of aspiration (C) Signup and view all the answers

What is the recommended timing for surgical closure of the cleft lip?

By 3 months of age (C) Signup and view all the answers

What is the purpose of teaching the parents the ESSR method of feeding?

To facilitate swallowing and reduce the risk of aspiration (C) Signup and view all the answers

What is the primary goal of creating a temporary colostomy in the neonatal period for Hirschsprung's disease?

To relieve obstruction and allow the bowel to return to its normal size (D) Signup and view all the answers

What is the recommended timing for closure of the palate in infants with cleft lip and palate?

Before 1 year of age (C) Signup and view all the answers

What is the purpose of using a metal appliance or adhesive strips to protect the suture line in post-operative care for cleft lip repair?

To prevent trauma to the suture line (C) Signup and view all the answers

What is included in the preoperative care for Hirschsprung's disease?

Maintaining NPO status and monitoring hydration and fluid and electrolyte status (B) Signup and view all the answers

What is the purpose of the Logan bar apparatus in post-operative care for cleft lip repair?

To protect the surgical incision (C) Signup and view all the answers

What is the purpose of measuring abdominal girth daily in Hirschsprung's disease management?

To monitor for abdominal distension (A) Signup and view all the answers

What is the purpose of a multidisciplinary team approach in the therapeutic management of cleft lip and palate?

To provide comprehensive care for the infant (B) Signup and view all the answers

What is the primary reason for avoiding taking the temperature rectally in Hirschsprung's disease?

To prevent further bowel obstruction (D) Signup and view all the answers

What is the typical time frame for bowel sounds to return or flatus to be passed after surgery for Hirschsprung's disease?

48-72 hours (B) Signup and view all the answers

What is the purpose of maintaining a nasogastric tube in the postoperative care for Hirschsprung's disease?

To allow for intermittent suction until peristalsis returns (B) Signup and view all the answers

What is the primary goal of assessing the anal area in the postoperative care for Hirschsprung's disease?

To assess for the presence of stool, redness, or discharge (A) Signup and view all the answers

What is the purpose of advancing the diet from clear liquids to regular as tolerated in the postoperative care for Hirschsprung's disease?

To allow for bowel function to return (D) Signup and view all the answers