The nurse is preparing to discharge an 18-month-old patient who has been in the hospital for repair of a cleft palate. Which statement is most appropriate for discharge teaching with the patient's mother?
Your child may want to be close to you most of the time for a while.
It would be a good idea to have your child sleep with you in your bed for a week or so after the child goes home.
You may find that your child is much more independent than before hospitalization.
Because of the attention your child has received in the hospital, you may need to set stricter limits than those in place before hospitalization.
The Correct Answer is A
Choice A rationale:
After undergoing cleft palate repair, it's appropriate to inform the mother that her child may want to be close to her most of the time. The child might feel more secure in the presence of their caregiver during the recovery period.
Choice B rationale:
Having the child sleep in the same bed is not typically recommended due to safety concerns, especially after surgery.
Choice C rationale:
Increased independence is not a common immediate response after hospitalization, especially for a young child recovering from surgery.
Choice D rationale:
While attention during hospitalization is important, it wouldn't necessarily translate to the need for stricter limits. Post-hospitalization care should focus on the child's comfort and recovery rather than punitive measures.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The statement "I will not take medications in front of my child”. is correct. Caregivers should avoid taking medications in front of children to prevent them from mimicking the behavior, as some medications can be harmful if ingested accidentally.
Choice B rationale:
The statement "I will keep all my medications in my purse”. is incorrect. Keeping medications in a purse or easily accessible place poses a risk of accidental ingestion by the child. Medications should be stored out of reach and in child-resistant containers.
Choice C rationale:
The statement "We will safety-proof the grandparents' house”. is correct. Safety-proofing the environment is important to prevent accidental poisoning. This statement demonstrates caregiver awareness of potential risks in another household.
Choice D rationale:
The statement "We will put locks on all of our cabinet doors at home”. is correct. Locking cabinet doors is a preventive measure to keep children away from potentially harmful substances, showcasing the caregiver's understanding of safety precautions.
Correct Answer is B
Explanation
Choice B rationale:
After cleft palate repair, infants should be fed pureed or soft foods to prevent trauma to the surgical site and facilitate healing. These textures minimize the risk of injury and avoid strain on the repaired area.
Choice A rationale:
Allowing the child to self-feed with a spoon can introduce solid textures prematurely and pose a risk of disrupting the surgical repair.
Choice C rationale:
Using a cup with a straw might cause suction that could negatively impact the healing surgical site, increasing the risk of complications.
Choice D rationale:
Restricting breastfeeding is not necessary for cleft palate repair. However, positioning adjustments may be needed to facilitate effective breastfeeding while minimizing stress on the surgical area.
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