Chelsea is a newborn weighing 2.75kg (6.05 lb) who was born with a cleft lip and palate. She is the second child of Mr. and Mrs. Jones. During rooming-in, Chelsea is brought to Mrs. Jones’ room for...

Chelsea is a newborn weighing 2.75kg (6.05 lb) who was born with a cleft lip and palate. She is  the second child of Mr. and Mrs. Jones.

During rooming-in, Chelsea is brought to Mrs. Jones’ room for the first time. The couple stares  steadily and looks alarmed at the newborn’s appearance. Mr. Jones walks back and forth from the  bed to the corner of the room. Mrs. Jones places the newborn on bed while staring with teary eyes.

She can’t help herself from saying, “I am worried what will happen to my poor child. What have  we done to her? Is there any way we can do to resolve her condition?”

The physician explains to the parents the need for sequential repair of her cleft lip (cheiloplasty)  and palate (palatoplasty).

Questions:

1. What are the major problems you would address for Chelsea during her hospital stay?  Discuss your impression of the situation?

1. As a nurse, how are you going to respond therapeutically for the response of Chelsea’s parents? 3. Discuss the standard of care for the surgical repair of the newborn’s cleft lip and palate? 4. Discuss additional health problems for which patients with this condition is at risk and who  among the craniofacial team would address each issue?


2. Develop a discharge teaching plan for Chelsea and his parents related to his health condition. 6. What developmental stage does Chelsea belong? Based upon his developmental level, identify  one key teaching need and the best communication techniques to use with her. Provide rationale  for your choice of communication techniques.


3. Using the nursing process, identify three priority nursing diagnoses for Mica. Formulate a