Urinary and Digestive System Case Study Essay

1157 Words Aug 17th, 2012 5 Pages
Case Study 20: The Digestive and Urinary Systems
1) Marissa, a newborn with a cleft lip and palate, is the third child of Juan and Maria. Both Juan and Maria are “visually alarmed” at Marissa’s appearance; however, Juan is more distant and reserved. Maria is very concerned with Marissa’s wellbeing and future and seems to take blame for Marissa’s physical condition.
2) The incidence of cleft lip (CL) with or without cleft palate (CP) is approximately 1 in 800 live births. The incidence of CP alone is 1 in 2000 live births. CL with or without CP is more common in males, and CP alone is more common in females. The defect appears more often in Asians and certain tribes of Native Americans than in whites and less frequently in blacks.
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Clefts of the lip and palate reduce the infant’s ability to suck, which interferes with feeding. For these infants, caregivers must experiment with various feeding techniques, such as specially shaped nipples or alternate feeding positions. The infant with a cleft should be held in nearly a sitting position (at least at a 45-degree angle) during feeding to minimize the chance that the breastmilk or formula will flow back into the nose.
8) a) Assist the mother with the breast-feeding if this is the mother’s preference; b) Modify feeding techniques to adjust to defect; c) Utilize special feeding appliances; d) Educate parents to burp infant frequently; e) Encourage parents to begin feeding infant as soon as possible to adapt to feeding techniques; f) Monitor weight to assess adequacy of nutritional intake; g) Ensure attitude of acceptance of infant; h) Arrange meeting with other parents who have similar experience
9) The major efforts in the postoperative period are directed toward protecting the operative site. Following repair, a metal appliance or adhesive strips are securely taped to the cheeks to relax the surgical site and prevent tension on the suture line caused by crying or other facial movements. Elbow restraints are needed to prevent the infant from rubbing or disturbing the suture line and are usually applied immediately after surgery. The older infant may require a

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