High School

The nurse is planning postoperative care for an infant after a cleft-lip repair. Which nursing intervention is most appropriate for this infant?

1. Prone positioning
2. Suctioning with a Yankauer device
3. Supine or side-lying positioning
4. Avoidance of soft elbow restraints

Answer :

Final answer:

The best positioning for an infant post cleft-lip repair is supine or side-lying to protect the surgical site and minimize aspiration risk. Soft elbow restraints may be used to prevent self-injury.

Explanation:

The most appropriate nursing intervention for an infant after a cleft-lip repair is supine or side-lying positioning. This position helps prevent the infant from rubbing or touching the operative site and also reduces the risk of aspiration. Prone positioning would place pressure on the surgical site and is not suggested. Suctioning with a Yankauer device may be too harsh for the delicate surgical area; gentle suction could be used if necessary. The use of soft elbow restraints may actually be recommended to prevent the infant from scratching or otherwise disturbing the healing lip.