University of Louisiana, Lafayette - NURSING 403

Scenario

Case Study 115: Cleft Lip and Palate

1)Discuss additional health problems for which these patients are at risk and who on the craniofacial team would address each issue:

2. S.G. weighs 6.5kg. Plot this finding on the Centers for Disease Control and Prevention (CDC) growth chart . Which of these statements best summarizes your findings?

1. 1. S.G. falls below the 5th percentile.
   2. S.G.'s weight is at or near the 25th percentile.
   3. S.G.'s weight is at or near the 75th percentile.
   4. S.G.'s weight is above the 95th percentile.

Case Study Progress

The laboratory test results and findings of S.G.'s preoperative workup are normal, and she is scheduled for her cheiloplasty.

3. What will you include in your preoperative teaching to S.G.'s parents?

4. Determine S.G.'s daily fluid maintenance requirements. How can her parents ensure this intake and determine adequate hydration status?

Case Study Progress

S.G. returns to the unit after her cheiloplasty. The surgeon notes on the chart that surgical glue was used to close the incision. you note standing postoperative orders to clean with normal saline and apply anti-biotic ointment three times per day.

5. True or False: You would call the surgeon to question this order. Explain your answer.

6. S.G.'s parents are advised that S.G. will return 6 months later for the palatoplasty. They are concerned about the delay between surgeries. What will your response be?

Case Study Progress

S.G. returns to your unit 6 months later for her cleft palate repair (palatoplasty).

7. Which of these nursing interventions are appropriate as you plan her care? Select all that apply and explain why or why not.

1. 1. Position patient side-lying or on abdomen postoperatively.

1. 2. Use elbow restraints as needed.

1. 3. Clear fluids; advance as tolerated. Patient may use a straw

1. 4. Administer pain medications as ordere