Flashcards in T2-GI Disorders: Cleft Lip/Palate Deck (35):
Cleft lip with or without Cleft palate is more common in males or females?
Cleft palate alone is more common in males or females?
Is cleft lip/palate familial?
Cleft lip/palate is familial, can occur with associated defects with other _____ abnormalities, or environmental _____
With other chromosomal abnormalities or environmental teratogens
Cleft lip is a failure of the ____ & _____ processes to fuse
Maxillary and median nasal processes
The merging of the upper lip at midline is complete by ____
7-8 weeks gestation
When does cleft palate appear?
When there is failure of the palatal shelves to fuse
When do the palatal shelves fuse?
7-12 weeks gestation; tongue has to get out of the way in order for palates to fuse
Can you have cleft lip without cleft palate?
Can you have cleft palate without cleft lip?
Can you have both cleft palate and lip together?
Which is this: Cleft palate or lip
Involves soft palate, hard, palate or both
Cleft lip is only unilateral. T/F?
FALSE; it can be unilateral or bilateral
If unilateral, under a nostril may be a ___ in lip or go all the way up into the floor of the nose.
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
What can help prevent cleft?
____ defects affected by folic acid
What is the goal for cleft lip/palate?
-Closure of the clients
-Prevention of complications
-Facilitation of normal growth and development
Is it better to breast or bottle feed a baby?
Breast; the breast will conform better to odd shape of the lips
What is the surgical correction for cleft lip?
Z-plasty is for the correction of cleft lip. When is this procedure usually done?
6-12 weeks of age in healthy infant
How is cleft palate surgically fixed?
Palatoplasy is the procedure for the correction of cleft palate. When is this usually done?
12-18 months; repaired right before development of speech
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)
What is the post-operative care for cleft lip goal?
Protection of surgical site
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
Used to hold and protect suture line
Logan's bar or steri strips
Cleft lip: Post op
What are immediate nursing problems?
Nose breathers (so won't be able to breathe through nose--inflammation)
Cleft palate post op:
-Issues with ____ because of where suture line is
-Frequent swallowing= sign of ____
-Sucking pacifers or straws allowed?
-Avoid what till healed?
-Issues with AIRWAY
-Sign of BLEEDING
-Sucking pacifers or straws= NO
-Avoid UTENSILS till healed
Cleft palate post op:
Progress diet to?
Slenderized food with progression to soft diet
Cleft palate: Post op?
How do they drink?
Cleft palate: Post op
What are some complications?
-Middle ear infections
-Associated hearing loss
What is the long term cleft palate/cleft lip goal?
Enhance or maintain a positive self-image
Who else may be involved with cleft palate/cleft lip?