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Which is the primary goal for a newborn with a cleft of the soft palate?

A.

Prevent ear infections

B.

Establish feeding and sucking

C.

Repair the cleft palate

D.

Help the mother bond with the baby

Answer and Explanation

The Correct Answer is B

A. Prevent ear infections: While individuals with cleft palates are at increased risk of ear infections, the primary immediate goal is not ear infection prevention.

B. Establish feeding and sucking.

Clefts of the soft palate can make it challenging for the baby to create a proper seal for sucking and feeding. Ensuring that the baby can feed effectively is a crucial initial goal. This may involve special nipples, bottles, or breastfeeding techniques to help the baby get proper nutrition.

While eventually repairing the cleft palate is an important part of the overall care plan, the immediate goal is to ensure that the baby can feed and gain weight properly.

C. Repair the cleft palate: Surgical repair of the cleft palate is typically done when the child is older. The immediate concern for a newborn is feeding.

D. Help the mother bond with the baby: This is an important aspect of care but not the primary goal for the baby's health and well-being. Bonding can occur while addressing the baby's feeding needs.


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Related Questions

Correct Answer is D

Explanation

A. Administration of a systemic oral antibiotic and a topical antibiotic may be used, but this option does not address the removal of crusts, which is essential for preventing complications.

B. Administration of a systemic and a topical antifungal is not appropriate for impetigo, as impetigo is caused by bacteria, not fungi.

C. Using an oil-based soap for bathing is not recommended, as it may not effectively remove crusts and pustules associated with impetigo, and it does not have antimicrobial properties necessary for treatment.

D. Removal of crusts with an antimicrobial liquid.

Impetigo is a contagious bacterial skin infection, typically caused by Staphylococcus aureus or Streptococcus pyogenes. It often presents with crusts and pustules on the skin. To prevent complications, it's important to keep the affected areas clean and free from crusts. Gently removing crusts with an antimicrobial liquid and clean cloth helps prevent the spread of infection, allows topical antibiotics to work effectively, and reduces the risk of complications.

Correct Answer is C

Explanation

A. Lordosis: Lordosis is an excessive inward curvature of the spine, typically seen in the lower back. It is often referred to as "swayback."

B. Torticollis: Torticollis is a condition where the head is tilted to one side and may be rotated to the opposite side. It typically affects the neck muscles and is not related to lateral curvature of the spine.

C. Scoliosis.

Scoliosis is a lateral curvature of the spine. It is characterized by an abnormal sideways curvature of the spine, which can lead to an "S" or "C" shape of the spine. Scoliosis can occur during adolescence, and routine physical examinations may reveal this condition.

D. Kyphosis: Kyphosis is an excessive outward curvature of the spine, which can result in a rounded or hunched back, often seen in the upper back or thoracic spine.

In summary, the lateral curvature of the spine observed in this adolescent should be documented as scoliosis.

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