The nurse is caring for an infant whose cleft lip was repaired. Important aspects of this infant's postoperative care include:
a. Arm restraints, postural drainage, and mouth irrigations.
b. Cleansing of suture line, supine and side-lying positions, and arm restraints.
c. Mouth irrigations, prone position, and cleansing of suture line.
d. Supine and side-lying positions, postural drainage, and arm restraints.
ANS: B
The suture line should be cleansed gently after feeding. The child should be positioned on back or side or in an infant seat. Elbows are restrained to prevent the child from accessing the operative site. Postural drainage is not indicated. This would increase the pressure on the operative site when the child is placed in different positions. Mouth irrigations would not be indicated.
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