问题 单项选择题

A 3-month-old infant just had a cleft lip and palate repair. To prevent trauma to the operative site, the nurse should do which of the following

A. Give the baby a pacifier to help soothe him.
B. Lie the baby in the prone position.
C. Place the infant’s arms in soft elbow restraints.
D. Avoid touching the suture line, even to clean.

答案

参考答案:C

解析:Soft restraints from the upper arm to the wrist prevent the infant from touching his lip but allow him to hold a favorite item such as a blanket. Because they could damage the operative site, such objects as pacifiers, suction catheters, and small spoons shouldn’t be placed in a baby’s mouth after cleft palate repair. A baby in a prone position may rub her face on the sheets and traumatize the operative site. The suture line should be cleaned gently to prevent infection, which could interfere with healing and damage the cosmetic appearance of the repair. Dried blood collecting on the suture line can widen the scar.

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