Certified Pediatric Nurse (CPN)

What method should be used to provide fluids to a 12 month old post cleft palate repair?

1. A. Rubber-tipped syringe

2. B. Bottle

3. C. Medicine dropper

4. D. Cup

The correct answer is: D. Cup

In the context of a 12-month-old child who has undergone cleft palate repair, using a cup is the most appropriate method for providing fluids. After such a surgical procedure, it is vital to minimize the risk of disrupting the surgical site. Feeding strategies must focus on protecting the repaired area while also ensuring the child receives adequate hydration. A cup allows the child to drink in a manner that does not put pressure on the cleft palate area, reducing the risk of complications like aspiration or damaging the surgical repair. This method encourages normal swallowing patterns as well and assists in promoting appropriate oral motor skills, which is especially important for a child at this developmental stage. Other methods such as a rubber-tipped syringe, bottle, or medicine dropper can pose risks. For instance, a bottle may encourage sucking, which can place pressure on the surgical site and potentially lead to issues with the repair. A rubber-tipped syringe may also cause some suction that could be detrimental, while a medicine dropper could result in less effective fluid intake and difficulties in swallowing. Thus, using a cup is aligned with recommendations for post-operative care in children who have had cleft palate repairs, allowing for safe hydration while promoting healthy feeding practices.