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    Ati N400 pediatric proctored exam 2
    Select All That Apply

    Which of the following interventions should be included in the postoperative care of an infant following cleft lip repair? (Select All that Apply.)

    Explanation & Rationale

    A. The Logan Bow or similar protective device is placed across the lip to reduce tension on the suture line and protect the surgical repair. It is essential that the nurse ensures it remains intact and secure. B. This positioning helps prevent trauma to the surgical site, reduces the risk of aspiration, and promotes safe recovery. Side-lying positions are avoided to protect the incision. C. Feeding after cleft lip repair requires adaptive devices (such as Haberman feeder or special cleft lip/palate nipple) to prevent trauma to the surgical site while ensuring adequate nutrition. Regular nipples or vigorous sucking should be avoided. D. This is contraindicated because sucking motions from cups, straws, or pacifiers can stress the suture line and disrupt healing. E. Effective pain control reduces crying, which places tension on the suture line, and supports healing. Nurses should use validated infant pain scales (such as FLACC) to guide interventions. F. This can damage tissue and delay wound healing. Instead, the site should be gently cleansed with sterile water or prescribed diluted solutions per provider orders.

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