GASTROINTESTINAL DISORDERS ASSESSMENT d. Rinse mouth with sterile water
1. CLEFT LIP-obvious defect, readily after feedings, to prevent
Structural Defects detectable at time of birth infection.
CLEFT LIP AND CLEFT PALATE are 2. CLEFT PALATE-must feel inside e. Feed slowly with child in sitting
congenital facial malformations resulting infant's mouth to check for presence of position, to prevent aspiration.
from faulty embryonic development; palatal defect and to note extent of f. Burp frequently, because infant
there appear to be multiple factors defect; soft palate and hard palate will swallow air along with
involved in the in the exact etiology; 3. BOTH major problems with feeding, formula due to the defect
mutant genes, chromosomal difficult to feed, noisy sucking, swallows g. Monitor weight
abnormalities, teratogenic agents. The excessive amounts of air, prone to
infant may be born with cleft lip and cleft aspiration. POSTOPERATIVE
palate. 4. PARENT INFANT ATTACHMENT a. Begin with clear liquids when
(bonding) may be adversely affected child has fully recovered
due to "loss of perfect infant," multiple anesthesia.
hospitalizations; note amount and b. Monitor weight gain carefully, to
quality of parent infant interaction. ensure adequate rate of growth
c. NO SUCKING for either cleft lip
or palate repair until incision is
healed.
d. Avoid stretching or pulling at
incision site; metal" LOGAN
BOW" may be used as external
brace for cleft lip repair.
2. GOAL: Promote parent infant attachment
a. How no discomfort handling
infant; convey acceptance
b. Stay with parents the first time
NURSING CARE PLAN/IMPLEMENTATION they see/hold infant
1. GOAL: Maintain adequate nutrition c. Offer positive comments about
PREOPERATIVE infant
a. Encourage parents to watch d. Give positive reinforcement to
nurse feed infant, then teach parents' initial attempts at
parents proper feeding parenting.
techniques: e. Encourage parents to assume
b. Use BRECK feeder or asepto increasing independence in care
syringe of their infant.
c. Deposit formula on back of f. Allow rooming in on subsequent
tongue to facilitate swallowing hospitalizations.
and to prevent aspiration.
Prepared by: Sosa, Reycel Jean A. BSN2
1. CLEFT LIP-obvious defect, readily after feedings, to prevent
Structural Defects detectable at time of birth infection.
CLEFT LIP AND CLEFT PALATE are 2. CLEFT PALATE-must feel inside e. Feed slowly with child in sitting
congenital facial malformations resulting infant's mouth to check for presence of position, to prevent aspiration.
from faulty embryonic development; palatal defect and to note extent of f. Burp frequently, because infant
there appear to be multiple factors defect; soft palate and hard palate will swallow air along with
involved in the in the exact etiology; 3. BOTH major problems with feeding, formula due to the defect
mutant genes, chromosomal difficult to feed, noisy sucking, swallows g. Monitor weight
abnormalities, teratogenic agents. The excessive amounts of air, prone to
infant may be born with cleft lip and cleft aspiration. POSTOPERATIVE
palate. 4. PARENT INFANT ATTACHMENT a. Begin with clear liquids when
(bonding) may be adversely affected child has fully recovered
due to "loss of perfect infant," multiple anesthesia.
hospitalizations; note amount and b. Monitor weight gain carefully, to
quality of parent infant interaction. ensure adequate rate of growth
c. NO SUCKING for either cleft lip
or palate repair until incision is
healed.
d. Avoid stretching or pulling at
incision site; metal" LOGAN
BOW" may be used as external
brace for cleft lip repair.
2. GOAL: Promote parent infant attachment
a. How no discomfort handling
infant; convey acceptance
b. Stay with parents the first time
NURSING CARE PLAN/IMPLEMENTATION they see/hold infant
1. GOAL: Maintain adequate nutrition c. Offer positive comments about
PREOPERATIVE infant
a. Encourage parents to watch d. Give positive reinforcement to
nurse feed infant, then teach parents' initial attempts at
parents proper feeding parenting.
techniques: e. Encourage parents to assume
b. Use BRECK feeder or asepto increasing independence in care
syringe of their infant.
c. Deposit formula on back of f. Allow rooming in on subsequent
tongue to facilitate swallowing hospitalizations.
and to prevent aspiration.
Prepared by: Sosa, Reycel Jean A. BSN2
