24 Questions
What is the recommended positioning of an infant after a cleft lip repair?
On the back upright to prevent airway obstruction
Why is it essential to keep the surgical site clean and dry?
To promote wound healing and prevent infection
What is the purpose of using elbow restraints in post-operative care?
To prevent the infant from touching the surgical site
What is the recommended method of feeding an infant after a cleft palate repair?
Using an Asepto syringe or soft cup
Why is it essential to instruct parents on feeding techniques and surgical site care?
To prevent complications and promote healing
What is the purpose of monitoring for signs of infection at the surgical site?
To identify potential complications and initiate early treatment
Why is it important to remove elbow restraints regularly?
To assess skin integrity and circulation
What is the purpose of using antibiotic ointment on the surgical site?
To prevent infection and promote healing
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
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
What is the recommended timing for surgical closure of the cleft lip?
By 3 months of age
What is the purpose of teaching the parents the ESSR method of feeding?
To facilitate swallowing and reduce the risk of aspiration
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
What is the recommended timing for closure of the palate in infants with cleft lip and palate?
Before 1 year of age
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
What is included in the preoperative care for Hirschsprung's disease?
Maintaining NPO status and monitoring hydration and fluid and electrolyte status
What is the purpose of the Logan bar apparatus in post-operative care for cleft lip repair?
To protect the surgical incision
What is the purpose of measuring abdominal girth daily in Hirschsprung's disease management?
To monitor for abdominal distension
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
What is the primary reason for avoiding taking the temperature rectally in Hirschsprung's disease?
To prevent further bowel obstruction
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
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
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
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
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