When planning preoperative care for a newborn with a cleft lip and palate, the nurse would plan interventions for which major need?

A. Report only movements that are strong enough to hurt: Fetal movements should be counted regardless of their intensity. It's important to track all movements to monitor fetal well-being, not just those that are painful or strong.

B. Choose a different time frame each day to count movements: It is important to count fetal movements at the same time each day to establish a consistent pattern and help identify any changes that may indicate concerns. A consistent time frame provides a more reliable assessment.

C. Count fetal movements for 1 hour at the same time each day: The most common recommendation is to count fetal movements for 1 hour, ideally at the same time each day. This allows the mother to notice any changes in fetal activity, which could be indicative of a problem.

D. Call the office if they feel no movement for any 15-minute period: While any significant decrease in fetal movement should be reported, 15 minutes without movement is not usually the threshold for concern. If there is a significant decrease over a longer period, the healthcare provider should be contacted.

A. "Your baby's defect is small and will likely close on its own by 1 year of age": Small VSDs often close spontaneously within the first year, and surgery is usually not needed unless the defect is large or causing symptoms.

B. "With a small defect like this, they wait until the child is 10 years old to do the surgery": Surgery for a small VSD is generally not needed unless complications arise. Most close naturally in infancy.

C. "It is common for health-care providers to wait until an infant develops respiratory distress before they do surgery": While respiratory distress is a symptom that might prompt surgical consideration for a VSD, healthcare providers do not wait for a child to develop severe symptoms before intervening. Surgery is considered based on symptoms and defect size.

D. "It is always helpful to get a second opinion about any serious condition like this": A second opinion is not necessary for most small VSDs, which often close on their own. The focus should be on providing accurate information and reassurance.