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Original Question

Client Profile: Marissa is a newborn weighing 14.2 kg (6 lb, 7 oz) who was born with a cleft lip and palate. She is the third child of Juan and Maria. Case Study: When Marissa is first brought from the nursery to Maria’s room, Maria and Juan are visually alarmed at Marissa’s appearance. The nurse notes that Maria holds her daughter in her lap, looking at her while Juan moves from the bedside to a chair next to the bed. Maria begins to cry, “My poor baby. What will happen to her? Everyone will make fun of her: What have we done to her?” Discuss the teaching priorities for Marissa’s parents prior to her discharge at 5 days of age. Marissa returns to the hospital at 8 weeks of age for the surgical repair of her cleft lip. What are the priorities of care for Marissa following her surgery? Discuss the nursing interventions to meet Marissa’s care needs. Even following Marissa’s cleft palate repair, her parents note that she still does not “talk much” and when she does, it is “difficult to understand her. Our other children were very talkative by this age. What should we do?” What actions should the nurse take?

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