A 4-month-old infant is discharged home after surgery for the repair of a cleft lip. What should instructions to the parents include?

a. Provide crib toys for distraction.
b. Breast- or bottle-feeding can begin immediately.
c. Give pain medication to the infant to minimize crying.
d. Leave the infant in the crib at all times to prevent suture strain.


ANS: C
Pain medication and comfort measures are used to minimize infant crying. Interventions are implemented to minimize stress on the suture line. Although crib toys are important, the child should not be left in the crib for prolonged periods. Feeding begins with alternative feeding devices. Sucking puts stress on the suture line in the immediate postoperative period. The infant should not be left in the crib but should be removed for appropriate holding and stimulation.

Nursing

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