When the caregiver uses standard nipples and bottles for a baby with cleft lip and cleft palate, the nurse will teach the ESSR method. The ESSR method involves:
a. enter, swish, swallow, and recover c. enter, stimulate, swallow, and retry
b. engage, start, swallow, and restart d. enlarge, stimulate, swallow, and rest
D
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A Incorrect. The ESSR method does not involve enter, swish, swallow, and recover.
B Incorrect. The ESSR method does not involve engage, start, swallow, and restart.
C Incorrect. The ESSR method does not involve enter, stimulate, swallow, and retry.
D Correct. The ESSR method involves enlarge, stimulate, swallow, and rest. This method uses standard nipples and bottles and is inexpensive and convenient. It includes enlarging the nipple hole by making a cross-cut so the infant will receive formula in the back of the throat for swallowing, thus bypassing the sucking problem. The next step refers to stimulating the sucking reflex by rubbing the nipple on the lower lip. The infant swallows the formula normally. The last step is a rest.
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