When assisting in obtaining informed consent for a child, which of the following actions were taken? Select all that apply.

Choice A rationale

Given the patient’s history of tonsillectomy, elevated temperature, high pulse rate, and the fact that they were admitted due to dehydration, the patient is most at risk for dehydration.

Choice B rationale

While infection is a possible risk due to the recent surgery and elevated temperature, the provided information about the patient’s vital signs and history points more towards dehydration.

Choice C rationale

Hemorrhage could be a concern post-tonsillectomy, but the patient’s symptoms and history of dehydration make dehydration a more immediate risk.

Choice D rationale

Aspiration could be a risk in patients post-surgery, but given the patient’s vital signs and history, dehydration is the most immediate risk.

Choice A rationale

While positioning to prevent fluid accumulation in the middle ear is important in the care of a newborn with a cleft lip and palate, it is not the first priority. Middle ear infections are common in children with cleft palate because the muscles that open the eustachian tubes (which drain fluid from the middle ear) may not work well. However, this is typically addressed after feeding issues are managed.

Choice B rationale

Facilitating immediate repair of the cleft palate to ease feeding difficulties is important, but it is not the first priority. Surgery to repair cleft palate is usually done when the child is older,

between 6 and 12 months of age. The timing of surgery depends on the child’s overall health and the type and severity of the cleft.

Choice C rationale

Assisting the mother to bond with the baby by providing emotional support is an important aspect of care. However, it is not the first priority. The initial focus is on addressing the baby’s immediate physical needs, such as feeding and breathing.

Choice D rationale

Establishing adequate feeding and sucking is the first priority when caring for a newborn with a cleft lip and palate. Babies with a cleft palate may have difficulty creating enough suction to breastfeed or bottle-feed effectively. Special feeding techniques and equipment may be needed to help these babies get enough nutrition.