A nurse is caring for an infant who is 1 day postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

Choice A rationale Positioning an infant on the abdomen after a cleft lip repair is contraindicated because it places the surgical site at risk for trauma. If the infant rubs their face against the bed linens, it can cause tension on the sutures, leading to dehiscence or scarring. The preferred position is on the back (supine) or side-lying on the unaffected side to protect the integrity of the repair and ensure the airway remains clear of secretions. Choice B rationale Using a bulb syringe in the mouth can be traumatic to a fresh suture line. While maintaining a patent airway is vital, vigorous suctioning near the upper lip can disrupt the surgical repair or cause bleeding. If secretions must be cleared, it should be done very gently and only if absolutely necessary. Surgeons generally prefer avoiding any objects in the mouth to prevent accidental contact with the newly reconstructed lip and to minimize postoperative edema. Choice C rationale Feeding an infant with a spoon immediately following cleft lip surgery is avoided to prevent injury to the suture line. The metal or hard plastic of a spoon can easily bump the repair, causing pain or mechanical damage to the delicate tissue. Instead, infants are typically fed using specialized feeders, such as a Haberman feeder or a syringe with a soft rubber tip, which allows for controlled flow without putting pressure on the surgical site. Choice D rationale Applying antibiotic ointment to the suture site is a standard postoperative intervention to promote healing and prevent infection. The ointment creates a physical barrier against contaminants and keeps the site moist, which reduces crusting. Crusting can lead to larger scars and may cause the infant to pick at the site. This intervention supports tissue regeneration and ensures the surgical outcome is both functional and aesthetically optimal for the developing child.