Pediatric ATI Practice Exam

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Study for the Pediatric ATI Exam. Use quizzes and detailed questions with explanations. Prepare effectively for your exam!

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What action should a nurse include in the plan of care for a 10-month-old infant postoperative following cleft palate repair?

Place the infant in side-lying position.
Offer the infant liquids with a straw.
Prohibit the guardian from holding the infant for 8 hours.
Cleanses the suture line with a lemon glycerin swab.

The correct answer is: Place the infant in side-lying position.

Placing the infant in a side-lying position after cleft palate repair is appropriate because it can help prevent direct pressure on the surgical site, allowing for optimal healing. This position also reduces the risk of aspiration, which is particularly important in the immediate postoperative period, as infants may have altered swallowing mechanisms following surgery. In contrast, using a straw for offering liquids can risk injury to the surgical site because it encourages suction, which is not advisable as it can stress the surgical wound. Additionally, restricting the guardian from holding the infant may not be beneficial; rather, comfort and bonding through holding can be important for emotional support and can help reduce the infant's distress. Lastly, using lemon glycerin swabs is discouraged; these can irritate the suture line and are not considered a suitable method for cleaning post-surgical areas. Therefore, adopting the side-lying position is the optimal choice for promoting healing and safety during the postoperative care of an infant following cleft palate repair.