hesi nursing pediatrics cleft lip and cleft palate questions and answers 100 correctverified latest update 20222023
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HESI NURSING Pediatrics Cleft Lip And Cleft Palate
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HESI NURSING Pediatrics Cleft Lip And Cleft Palate
Questions And Answers 100% Correct/Verified Latest
Update 2022/2023
Cleft Lip and Cleft Palate
Meet the Client: Julio Rodriquez
Mario and Isabella Rodriquez are a young Mexican-American couple who are in
the labor and delivery room having their first child. Isabella had prenatal care, and
both she and Mario attended childbirth classes. Mario and Isabella's parents are in
the waiting room along with other family members includingsisters, brothers, and
cousins.
A Complication Occurs
"Push, push, push!" Mario urges while holding Isabella's hand and watching as his
first-born child makes an entrance into the world. As the infant is delivered, the
entire room becomes quiet and Isabella sees alook of concern on her husband's
face. The baby boy is crying loudly, but the upper lip appears to be missing, and
his face looks deformed. The infant is quickly placed under the radiant warmer
and dried. His 1 minute Apgar score is 8. Isabella is frightened, and she has not
seen her newborn son yet. "What iswrong with my baby? What is going on?" she
cries.
Which action should the labor and delivery nurse take?
A) Explain that she has a healthy baby boy
with a great cry.INCORRECT
Her son may be healthy and have a great cry, but he has a facial abnormality
HESI NURSING Pediatrics Cleft Lip And Cleft Palate
Questions And Answers 100% Correct/Verified Latest
Update 2022/2023
,HESI NURSING Pediatrics Cleft Lip And Cleft Palate
Questions And Answers 100% Correct/Verified Latest
Update 2022/2023
that will require repair.
B) Wait for the obstetrician to tell Isabella
what is happening.INCORRECT
The nurse should implement another action without waiting for the obstetrician to
talk to Isabella.
C) Answer Isabella's questions and allow her to see her
son.CORRECT
The nurse should answer Isabella's questions and allow her to see her son since he
is crying and not in immediate danger. This will allow for bonding between the
mother and her baby. The nurse should staywith the couple in case they have any
questions or need emotional support.
D) Take the infant to the neonatal intensive
care unit immediately.INCORRECT
Since the infant is not in any respiratory or cardiovascular distress, there is no
need to admit him into theneonatal ICU.
The labor and delivery nurse knows that many infants with a cleft lip also have a
HESI NURSING Pediatrics Cleft Lip And Cleft Palate
Questions And Answers 100% Correct/Verified Latest
Update 2022/2023
,HESI NURSING Pediatrics Cleft Lip And Cleft Palate
Questions And Answers 100% Correct/Verified Latest
Update 2022/2023
cleft palate.
2.
Which assessment technique will determine if the infant has a cleft palate?
A) Insert a gloved finger and palpate the top of
the infant's mouth.CORRECT
The palate is the roof of the mouth, and palpating this area with the finger will
determine if the palate isopen (cleft) or closed (not cleft).
B) Assess the inside of the infant's mouth
with a pen light.INCORRECT
This will not determine if the infant has a cleft palate because the light is often
obscured in the infant'stiny mouth.
C) Place a sterile tongue blade in the mouth
and press down.INCORRECT
Since the presence of a cleft palate cannot be determined by using a tongue
blade, there is no reason touse one in the mouth, sterile or non-sterile.
D) Request a computed tomography (CT) scan of the
face and mouth.INCORRECT
A CT scan is not used to determine if an infant has a cleft palate.
HESI NURSING Pediatrics Cleft Lip And Cleft Palate
Questions And Answers 100% Correct/Verified Latest
Update 2022/2023
, HESI NURSING Pediatrics Cleft Lip And Cleft Palate
Questions And Answers 100% Correct/Verified Latest
Update 2022/2023
Mario and Isabella name their son Julio Jorge Rodriquez after both his
grandfathers. Julio is taken to theintermediate care nursery for observation. The
neonatologist consults with a plastic surgeon and diagnoses Julio with a bilateral
cleft lip and a complete cleft palate.
Therapeutic Communication
The nurse walks into Isabella's room during the night shift and finds her alone and
crying uncontrollably.She tells the nurse, "It is my fault Julio is deformed. I got
the mal de ojo, the evil eye, while I was pregnant. I put raw eggs under my bed
but that still didn't help. I am being punished."
3.
Which action will the nurse implement first?
A) Explain that the evil eye did not cause Julio's
cleft lip and palate.INCORRECT
Isabella is crying and upset and the nurse must be culturally sensitive and
not negate her concern, the"mal de ojo" can be discussed later.
B) Tell Isabella that no one knows the exact
reason that this happens.INCORRECT
Isabella is crying and upset and will not be willing to listen to facts at this time.
HESI NURSING Pediatrics Cleft Lip And Cleft Palate
Questions And Answers 100% Correct/Verified Latest
Update 2022/2023
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