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Multiple Choice
Which nursing intervention is indicated for an infant born with a cleft lip?
A
Position the infant on their back to prevent aspiration.
B
Encourage the infant to suck on a pacifier to strengthen oral muscles.
C
Feed the infant with a regular bottle to promote normal feeding habits.
D
Avoid cleaning the cleft area to prevent irritation.
Verified step by step guidance
1
Understand the condition: A cleft lip is a congenital deformity where there is an opening or split in the upper lip. This can affect feeding and increase the risk of aspiration.
Identify the primary concern: For infants with a cleft lip, preventing aspiration during feeding is crucial. Aspiration can lead to respiratory complications.
Consider positioning: Positioning the infant on their back is recommended to minimize the risk of aspiration. This position helps ensure that any regurgitated milk does not enter the airway.
Evaluate feeding techniques: Using specialized bottles or nipples designed for infants with cleft lip can help manage feeding difficulties and reduce aspiration risk. Regular bottles may not be suitable.
Assess oral muscle development: Encouraging the infant to suck on a pacifier can help strengthen oral muscles, which is beneficial for feeding and speech development later on.