The nurse is caring for a 6-month-old with a cleft lip and palate. The mother of the child demonstrates understanding of the disorder with which statements? Select all that apply
A) "My smoking during pregnancy didn't have anything to do with this disorder. Smoking primarily causes low birth weight."
B) "I know my baby takes a lot longer to feed than most children this age."
C) "It really worries me that my baby may have some other disorders that haven't been detected yet."
D) "I wonder if my baby will develop speech problems when language development begins?"
E) "Thankfully there are doctors that specialize in correcting this type of disorder."
Ans: B, C, D, E
Feeding and speech are especially difficult for the child with cleft lip and palate until the defect is repaired. Cleft lip and palate occurs frequently in association with other anomalies and has been identified in more than 350 syndromes. Plastic surgeons or craniofacial specialists, oral surgeons, dentists or orthodontists, and prosthodontists are some of the physicians that specialize in repair of this disorder. The mother is incorrect in stating that smoking is not associated with cleft lip or palate. Maternal smoking during pregnancy is a major risk factor for the disorder.
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The physician orders dicyclomine (Bentyl), an anticholinergic drug, for a patient. What is the nurse's priority assessment prior to administering this drug?
1. Does the patient have light sensitivity? 2. Is the patient able to urinate? 3. Does the patient have a history of alcoholism? 4. Is the patient dizzy upon standing?
A new school nurse was concerned about being accepted, as the previous nurse had been at the school for more than 20 years. What might be a helpful approach?
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