T2-GI Disorders: Cleft Lip/Palate Flashcards Preview

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Flashcards in T2-GI Disorders: Cleft Lip/Palate Deck (35):
1

Cleft lip with or without Cleft palate is more common in males or females?

Males

2

Cleft palate alone is more common in males or females?

Females

3

Is cleft lip/palate familial?

Yes

4

Cleft lip/palate is familial, can occur with associated defects with other _____ abnormalities, or environmental _____

With other chromosomal abnormalities or environmental teratogens

5

Cleft lip is a failure of the ____ & _____ processes to fuse

Maxillary and median nasal processes

6

The merging of the upper lip at midline is complete by ____

7-8 weeks gestation

7

When does cleft palate appear?

When there is failure of the palatal shelves to fuse

8

When do the palatal shelves fuse?

7-12 weeks gestation; tongue has to get out of the way in order for palates to fuse

9

Can you have cleft lip without cleft palate?

Yes

10

Can you have cleft palate without cleft lip?

Yes

11

Can you have both cleft palate and lip together?

Yes

12

Which is this: Cleft palate or lip

Involves soft palate, hard, palate or both

Cleft palate

13

Cleft lip is only unilateral. T/F?

FALSE; it can be unilateral or bilateral

14

If unilateral, under a nostril may be a ___ in lip or go all the way up into the floor of the nose.

Notch

15

What else is going on in the first trimester?

N/V, so some docs don't give prenatal vitamins or pt. may not be getting full benefit of taking vitamins

16

What can help prevent cleft?

Folic acid

17

____ defects affected by folic acid

Midline

18

What is the goal for cleft lip/palate?

-Closure of the clients
-Prevention of complications
-Facilitation of normal growth and development

19

Is it better to breast or bottle feed a baby?

Breast; the breast will conform better to odd shape of the lips

20

What is the surgical correction for cleft lip?

Z-plasty

21

Z-plasty is for the correction of cleft lip. When is this procedure usually done?

6-12 weeks of age in healthy infant

22

How is cleft palate surgically fixed?

Palatoplasty

23

Palatoplasy is the procedure for the correction of cleft palate. When is this usually done?

12-18 months; repaired right before development of speech

24

What is harder to repair: cleft lip or cleft palate?

Cleft palate--nothing to work with, so as they grow, the cleft in the palate will get smaller (if wait too long, its hard to repair)

25

What is the post-operative care for cleft lip goal?

Protection of surgical site

26

What are the 5 ways to achieve the goal of "protection of surgical site" for a post-operative care for cleft lip?

1. Never position on stomach
2. Elbow restraints
3. Oral and wound care
4. Comfort measures/pain control
5. Logan's bar or steri strips

27

Used to hold and protect suture line

Logan's bar or steri strips

28

Cleft lip: Post op

What are immediate nursing problems?

Bleeding
Infant upset
Nose breathers (so won't be able to breathe through nose--inflammation)

29

Cleft palate post op:
-____ restraints
-Issues with ____ because of where suture line is
-Frequent swallowing= sign of ____
-Sucking pacifers or straws allowed?
-Avoid what till healed?

-Elbow restraints
-Issues with AIRWAY
-Sign of BLEEDING
-Sucking pacifers or straws= NO
-Avoid UTENSILS till healed

30

Cleft palate post op:
Progress diet to?

Slenderized food with progression to soft diet

31

Cleft palate: Post op?

How do they drink?

Cup

32

Cleft palate: Post op

What are some complications?

-Middle ear infections
-Nasopharyngeal infections
-Sinus infections
-Associated hearing loss
-Speech delay

33

What is the long term cleft palate/cleft lip goal?

Enhance or maintain a positive self-image

34

Who else may be involved with cleft palate/cleft lip?

Speech therapy
Orthodontist

35

What are some psychosocial issues for parents of cleft lip/cleft palate children?

-Trouble bonding with child
-Grieft
-Realizing child is not perfect
-Financial support
-Teaching them physical care of infant
-Routine health maintained
-Seek med care early in illness
-Concerns over speech

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