At what age is it generally recommended to perform palatoplasty for a child with a cleft palate?
2-3 months
18-24 months
6-12 months
4-5 years
The Correct Answer is C
A. 2-3 months is too early for palatoplasty, as the child’s palate and facial structures need time to develop. Surgical repair of the palate is typically done later, once the child is more developed.
B. 18-24 months is too late for the initial palatoplasty. Early intervention is preferred for speech development and other aspects of the child’s overall growth.
C. 6-12 months is the recommended age range for palatoplasty, as this is the time when the child’s palate has matured enough for surgery, and earlier intervention supports optimal outcomes for speech and facial development.
D. 4-5 years is too late for the first palatoplasty. However, additional surgeries or interventions may be needed during this age range as the child grows and their oral structures continue to develop.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Urine specific gravity 1.015 is correct. A specific gravity of 1.015 indicates good hydration status and that the child is effectively retaining fluids after oral rehydration therapy. Normal urine specific gravity ranges from 1.010 to 1.020.
B. Respiratory rate 24/min is not directly related to hydration status and does not necessarily indicate that rehydration therapy has been effective. It is a normal rate for a 3-year-old child, but respiratory rate alone isn't an indicator of fluid balance.
C. Heart rate 130/min is elevated for a 3-year-old child and may indicate dehydration or other stressors, suggesting that oral rehydration therapy has not been completely effective. A normal heart rate for this age is typically 80-120 beats per minute.
D. Capillary refill greater than 3 seconds is a sign of dehydration and poor perfusion, indicating that the oral rehydration therapy has not been effective in restoring hydration. Normal capillary refill time is less than 2 seconds.
Correct Answer is C
Explanation
A. Administer antipyretic therapy is appropriate to help reduce fever, but it is not the first priority. The child’s vital signs indicate a high fever and signs of possible meningitis, and intervention to prevent further complications or the spread of infection should take precedence.
B. Place the child in a lateral Sims position is unnecessary in this case. A lateral Sims position is typically used to prevent aspiration during vomiting, but it is not the priority for this child. The focus should be on infection control and stabilizing the child’s condition.
C. Place the child on droplet precautions is the correct priority. The child is showing signs of possible bacterial meningitis, which is a highly contagious infection. Droplet precautions are necessary to prevent transmission of the infection to other individuals.
D. Reduce all environmental stimuli may be helpful for a child with a neurological condition, but it is not the first priority in this case. The priority is preventing the spread of infection while further stabilizing the child’s condition.
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