Which is the best nursing response to a mother asking about the cause of her infant's bilateral cleft lip?
a. "Did you have trouble with this pregnancy?"
b. "Do you know of anyone in your or the father's family born with cleft lip or palate problems?"
c. "This defect is associated with intrauterine infection during the second trimester.".
d. "Was your husband in the military and in-volved in chemical warfare?"
B
Cleft lip and palate result from embryonic failure resulting from multiple genetic and environmental factors. A genetic pattern or familial risk seems to exist. A troublesome pregnancy has not been associated with bilateral cleft lip. The defect occurred at approximately 6 to 8 weeks of gestation. Second-trimester intrauterine infection is not a known cause of bilateral cleft lip. Chemical warfare is not significantly associated with bilateral cleft lip and palate.
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