Which nursing intervention is most helpful to parents of a neonate with bilateral cleft lip?
a. Assure the parents that the correction will be immediate and uncomplicated.
b. Show the parents "before-and-after" pictures of an infant whose cleft lip has been successfully repaired.
c. Teach the parents about long-term enteral feedings.
d. Refer the parents to a community agency that addresses this problem.
B
Showing the parents pictures of successful lip repair promotes bonding and enhances coping ability. Correction is usually done around 4 weeks but may be done as early as 2 to 3 days after birth. The infant with a bilateral cleft lip can be fed orally using a compressible, longer nipple, and by making a larger hole in the nipple. Long-term enteral feedings are not usually indicated. A community agency referral is not appropriate at this time and may not be indicated long term.
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