Problem Ng.

Diagnosis Scientific Basis Objective of care Implementation Rationale

I. Physiologic deficitRisk for imbalanced Cleft palate usually After 1 month of 1.surgery 1.repair cleft lip and
nutrition; less than makes holistic ng. care, -Cleft lip repair- bet. palate
CUES: body requirements breastfeeding the child will be Birth and 3 months
Objective r/t feeding problems difficult because the able to: -cleft palate repair-
caused by cleft lip infant has difficulty 1. Acquire adequate by 1 yr of age
-a small notch in the and palate. sucking properly. nutrition. -follow up surgery-
lip and extend from The palate prevents bet. Age of 2 and
the lip through the food and liquid from late ten yrs.
upper gum and palate. going up the nose 2.wear prosthetic 2.to aid proper
when swallowing. palate called eating
-baby is not able to “An opening in the obrerator
suck the nipple of palate makes it 3.when feeding,
her mother impossible for the hold infant in 3.to help keep the
baby to seal off his upright position food from coming
-change in nose mouth and make 4.Provide special out of the nose
shape the suction typically nipples or feeding 4.to suck
used to keep the devices (eg, soft adequately in
breast (or bottle) in pliable bottle with standard nipples
place and pull the soft nipple with (nursingcrib.com)
nipple to the back of enlarged opening) for
his mouth.” a child unable
5.speech 5.to provide an
therapy(first 6 overview of the
months) treatment and
suggest specific
language and
speech stimulation
gains to play with
the baby
6.dental care 6.help align the
teeth