NU331 Peds lecture 02/04/2022 Cleft palate

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11 Terms

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cleft palate/lip

happens before most women know they are even pregnant, congenital abnormality due to the failure of closure of certain facial parts during embryonic development

<p>happens before most women know they are even pregnant, congenital abnormality due to the failure of closure of certain facial parts during embryonic development</p>
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cleft palate/lip cause

genetic link, environmental (smoking, etoh, infections), meds (dilantin, retin A, steroids), low folate

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Retin A

causes a lot of birth defects, dont give to women of child bearing age

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cleft lip problems for infant

feeding difficulties (cant form suction), weight gain is difficult, risk for aspiration, nasal deformity, dental abnormalities, speech, social acceptance

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special nipples for cleft lip

squeeze bottle: ross nipple, mead-johnson

nipple hole/valve: pigeon, haberman, special needs feeder

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cleft lip treatment

surgery at 2-3 months, z plasty / cheiloplasty

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arm restraints for cleft lip

medical restraint to prevent playing with lips

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cleft palate problems for infant

feeding difficulties (weight loss risk for aspiration), ear infections increased risk (can decrease hearing, lead to speech problems), possible dental work, social acceptance

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cleft palate treatment

nutrition, possible prep for reconstruction, surgery at 6-12 months -> palatoplasty

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cleft palate feeding

use of a cup after surgery! no sucking, 10-15ml water chaser

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before dischagre with cleft lip and palate

have to show that parents are able to feed them and they are feeding well by diaper wights and input