Page 966 - Saunders Comprehensive Review For NCLEX-RN

cause rubbing of the surgical site on
the mattress (position on the back
upright and position to prevent airway
obstruction by secretions, blood, or the
tongue).
c. Keep the surgical site clean and dry;
after feeding, gently cleanse the suture
line of formula or serosanguineous
drainage with a solution such as
normal saline or as designated by
agency procedure.
d. Apply antibiotic ointment to the site as
prescribed.
e. Elbow restraints should be used to
prevent the infant from injuring or
traumatizing the surgical site.
f. Monitor for signs and symptoms of
infection at the surgical site.
2. Cleft palate repair
a. Feedings are resumed by bottle, breast,
or cup per surgeon preference; some
surgeons prescribe the use of an
Asepto syringe for feeding or a soft
cup such as a sippy cup.
b. Oral packing may be secured to the
palate (usually removed in 2 to 3
days).
c. Instruct the parents to avoid placing
anything in the child's mouth that is
harsh and could cause disruption of
the surgical site.

3. Soft elbow or jacket restraints may be used

(check agency policies and procedures) to keep the
child from touching the repair site; remove restraints
at least every 1 to 2 hours (or per agency procedure)
to assess skin integrity and circulation and to allow
for exercising the arms.

4. Avoid the use of oral suction or placing objects

in the mouth such as a tongue depressor,
thermometer, straws, spoons, forks, or pacifiers.
5. Provide analgesics for pain as prescribed.
6. Instruct the parents in feeding techniques and in the
care of the surgical site.
7. Instruct the parents to monitor for signs of infection at
the surgical site, such as redness, swelling, or

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