Which of the following interventions should be included in the postoperative care of an infant following cleft lip repair? (Select All that Apply.)
Maintain integrity of the postoperative protective device (Logan Bow)
Place infant on the back or upright in the immediate postoperative period
Allow infant to suck formula with a special nipple or feeding device
Encourage the infant to use a sippy cup for drinking
Pain management using an age-appropriate tool
Use full strength hydrogen peroxide to clean the crusts on protective device
Correct Answer : A,B,C,E
A. The Logan Bow or similar protective device is placed across the lip to reduce tension on the suture line and protect the surgical repair. It is essential that the nurse ensures it remains intact and secure.
B. This positioning helps prevent trauma to the surgical site, reduces the risk of aspiration, and promotes safe recovery. Side-lying positions are avoided to protect the incision.
C. Feeding after cleft lip repair requires adaptive devices (such as Haberman feeder or special cleft lip/palate nipple) to prevent trauma to the surgical site while ensuring adequate nutrition. Regular nipples or vigorous sucking should be avoided.
D. This is contraindicated because sucking motions from cups, straws, or pacifiers can stress the suture line and disrupt healing.
E. Effective pain control reduces crying, which places tension on the suture line, and supports healing. Nurses should use validated infant pain scales (such as FLACC) to guide interventions.
F. This can damage tissue and delay wound healing. Instead, the site should be gently cleansed with sterile water or prescribed diluted solutions per provider orders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Processed foods are generally low in iron and calcium and do not help reduce lead absorption.
B. Dairy products are a good source of calcium and should not be limited unless directed for another medical reason.
C. Fruits and vegetables (especially leafy greens and iron-rich produce) provide important sources of iron and calcium, which compete with lead for absorption and help lower lead toxicity.
D. Soda does not contain calcium and may worsen nutritional status, interfering with healthy intake.
Correct Answer is ["7.5"]
Explanation
Desired dose = 375 mg
Available concentration = 500 mg per 10 mL = 50 mg/mL
Volume needed = Desired dose ÷ Concentration = 375 mg ÷ 50 mg/mL = 7.5 mL
Final Answer:7.5 mL
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