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Cleft Palate Exam 2

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Term
Definition
Cleft lip feeding   Rarely and issue, sometimes with first latching but actual feeding issues are minimal  
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What causes cleft palate feeding issues?   Negative pressure, gap makes it difficult to create suction  
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What can be done to reduce nasal reflux and improve feeding?   Selection of bottle/nipple, positioning of nipple. positioning infant, follow feeding schedule, frequent burping  
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Weak suck leads to   Increased feeding time  
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Increased feeding time leads to   insufficient weight gain  
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Insufficient weight gain leads to   Nasal reflux  
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Nasal reflux leads to   Fatigue  
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Fatigue leads to   Parental stress  
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Parents with cleft babies   Should be monitored for symptoms of stress/postpartum  
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Recommendation for moms during feeding   Follow baby lead, keep feed diary, limit feeding times to 30 minutes, smaller more frequent feedings  
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What should be encouraged?   Nonnutritive sucking  
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Types of assisted milk delivery   Haberman Bottle, Pigeon Nipple, Mead Johnson Nurser  
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Major disadvantage of assisted milk delivery   Cost  
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Haberman   One-way valve, feeder activated with tongue pressure, immolates mechanism in breastfeeding rather than by sucking  
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Pigeon Nipples   Not assisted delivery, firm side to occlude palate and direct milk down, soft side easier for babies tongue to push  
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Mead Johnson   Cross-cut soft nipple, parent control feeding, longer nipple than others (affect cleft), sometimes has leakage at collar, goof for hypotonia and weakest babies  
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Other options   Pigeon valve placed in standard nipples, cross-cut nipples, squeezing drop ins to assist with extraction (syringe)  
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When should children w/ cleft transition to solids?   Same time as TD (4-6 months)  
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It is ____ to offer purees and age appropriate _____ before cleft is repaired   safe, solids  
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Why do some kids with cleft have trouble transitioning to solids?   Nasal regurgitation  
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When might babies have dietary restrictions?   Post-surgery (9-12 months old)  
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What is a resource for families?   American Celft Palate Association  
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