The roof of your child’s mouth (the palate) is still healing and should be protected from injury for about 3 weeks after surgery. There may be less feeling in this area for a while after the surgery. This means that your child can injure the roof of the mouth without you or your child knowing it. Show
Put hard objects away, or keep them out of your child’s reach while the palate is healing. Please discuss with your surgeon the use of a pacifier after surgery. Listed below are objects that could hurt your child’s mouth.
Mouth Care
Drinking and EatingDuring this time, it is most important to make sure that your child is drinking enough liquids to stay hydrated. You will know if your child gets enough fluids if they have the same number of wet diapers after surgery as before. Your child should have a wet diaper at least every 8 hours. If there are fewer wet diapers, call the Cleft Lip and Palate Center helpline. This may be a sign of dehydration. You can reach the helpline at (614) 722-6299, Monday through Friday, 8 a.m. to 4:30 p.m. During evenings, weekends and holidays please call (614) 722-2000 and ask for the plastic surgeon on call. For a short while after surgery, your child may not eat as well as before surgery.
Arm SplintsYour child may or may not need to wear arm splints for 3 weeks. Please discuss this with your surgeon. These splints keep your child from putting their fingers into the mouth and accidentally damaging the repair.Before your child leaves the hospital, be sure a nurse shows you how to put the splints on properly. To find out more, refer to Helping Hand HH-II-16, Arm Restraints. Activity or Play
Pain and MedicinesIt is important for your child to take medicines as directed by the doctor. Your child will go home with an antibiotic. The antibiotic needs to be taken until all of it is gone. Some pain is normal after palate repair. Your surgeon and medical team will work together to achieve the best pain control possible, but your child may still experience discomfort. For pain, your child may be prescribed a medicine called either Oxycodone or Lortab. Your child may also be given over-the-counter pain medicines such as Tylenol®(acetaminophen), or Motrinor Advil (ibuprofen) instead of Oxycodone or Lortab. After a few days, your child will only need over-the-counter pain medicine. Pain Medicines
Things to Know About Side Effects for Oxycodone and Lortab
Things to Know About Lortab
Things to Know About Over-the-Counter Pain Medicines
What to Expect After SurgeryFor the first few days after surgery, you may see the following things:
More Tips
When to Call the DoctorCall your child’s doctor or the Cleft Lip and Palate Center’s helpline if your child has:
The Cleft Lip and Palate Center HelplineDuring regular business hours from 8 a.m. to 5 p.m., Monday to Friday, call (614) 722-6299. After hours, on weekends or holidays, call (614) 722-2000. Ask to speak with the plastic surgeon on call. Follow-Up AppointmentsFor follow-up appointments at the Cleft Lip and Palate Center, call (614) 722-6537.
Feeding Guidelines After Palate Surgery
HH-I-18 1/79, Revised 12/19 Copyright 1979, Nationwide Children’s Hospital Which assessment would the nurse prioritize for a newborn with Down syndrome?Assessment of a child with Down syndrome include: Physical assessment. The nurse should perform a thorough, systemic, head-to-toe assessment of the newborn.
Which parent education would the nurse provide the parent of a 6 week old infant who grasps a rattle placed in the hand?A 6-week-old infant grasps a rattle placed in the hand. The parent is impressed with this skill. What should the nurse teach the parent about this behavior? This is the palmar grasp reflex and is expected at this age.
Which procedure would the nurse use to elevate the head of an infant in a spica cast?Using the bedpan
Elevate your child's head and shoulders with pillows when he/she is placed on the bedpan. This will help prevent urine from running backward and inside the cast. A gauze or cloth pad or a small folded towel placed on the back rim of a bedpan will absorb any moisture and help keep the cast dry.
Which milestone would the nurse expect an infant to accomplish by 8 months of age?The infant will most likely present with developmental skills consistent with a 6-month-old infant. By 8 months of age, the child's skill level will vary greatly and cannot be predicted. The infant can be expected to display developmental skills consistent with a 8-month-old infant.
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