A baby is being discharged home to await surgery to correct a cleft palate. What information do the parents need as the priority?
A.
Correct use of the Pavlik harness
B.
Dressing changes and wound care
C.
Feeding techniques and special nipples
D.
How to explain the defect to others
ANS: C
Cleft lip and cleft palate usually are accompanied by feeding problems. Breastfeeding is possible for some babies, whereas others will need specially adapted nipples. There are resources for parents to deal with the emotional aspects of the defect, including how to word birth announcements, but this is not the priority. The Pavlik harness is used with long-bone fractures. Dressing changes and/or wound care would be a priority after surgical correction.
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