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Not sure if someone else was supposed to be posting a question... sorry if I'm invading someone's territory :) Though I'd throw one out there since I'm reviewing NCLEX questions anyway:
The nurse has been teaching a new mother how to feed her infant son who was born with a cleft lip and palate. Which action by the mother would indicate that the teaching has been successful?
A. Placing the neonate flat during feedings
B. Providing fluids with a small spoon
C. Placing the nipple in the cleft palate
D. Burping the neonate frequently
mitchsmom
1,907 Posts
ANSWER:
D. Rationale: Because a neonate with a cleft lip and palate can't grasp a nipple securely, he may swallow a large amount of air during feedings and, therefore, require frequent burping. A neonate with a cleft lip and palate should be fed in an upright position to reduce the risk of aspiration. Spoons aren't used. A neonate with a cleft lip and palate may use specially prepared nipples for feeding. Placing the nipple in the cleft palate increases the risk of aspiration.