The nurse is planning postoperative care for an infant after a cleft-lip repair. The plan should include
1. prone positioning.
2. suctioning with a Yankauer device.
3. supine or side-lying positioning.
4. avoidance of soft elbow restraints.
Answer:3
Rationale:Integrity of the suture line is essential for postoperative care of cleft-lip repair. The infant should be placed in a supine or side-lying position to avoid rubbing the suture line on the bedding. The prone position should be avoided. A Yankauer suction device is made of hard plastic and,if used,could cause trauma to the suture line.Suctioning should be done with a small,soft suction catheter.Soft elbow restraints may be used to prevent the infant from touching the incisional area.
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