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Case Study: Special Needs 1 Cleft lip & Palate

Gina is a 19-year-old G1P0 who has just had a routine ultrasound for fetal anatomy at 20 weeks of gestation. The physician has informed Gina and her boyfriend that the baby appears to have a cleft lip and may have cleft palate. The nurse is seeing Gina and her boyfriend after they receive this news. Gina is crying and wondering why this happened.

Question 1- What can you tell Gina about the cause of this anomaly?
Question 2- How can the nurse help Gina and her boyfriend cope with the findings at this time?
Question 3- What resources would be appropriate to offer the couple on their next prenatal visit?
Question 4- Gina is now at 36 weeks of gestation. What additional nursing interventions and teaching are indicated?
Question 5- What nursing interventions in the delivery room are indicated with cleft lip or palate?

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