I answered: 1)airway 2)fluid 3)restraint 4)teach family feeding 5)attend to infant's distress I was going to challenge the question but I was aware I got the last two mixed up. The correct answer was 1)airway 2)restraints 3)fluids 4)attend to infant distress 5)provide feeding education The rationale was that the infant could pull out the sutures.
It was a question on our last test. I prioritized it....incorrectly. I got to see the correct answer after the test. I just want to see what everybody here thinks and see if it is consistent with the test rationale.
Prioritize the following nursing responsibilities for an infant in the first 24 hours post cleft lip/palate surgery -provide emotional supoort to child -fluid maintenance/maintain fluid balance -maintain adequate airway -apply arm restraints -provide education to parents on how to properly feed Just FYI you are supposed to know that the arm restraints are to prevent the infant from pulling out the sutures-normal protocol for post cleft kip/palate surgery.