Maternal / Newborn Question #33


The nurse is caring for an infant immediately following cleft lip repair. Which priority interventions will the nurse perform? Select all that apply.


  1. Position on side or back only.
    • Rationale:
  2. Keep suction equipment and bulb syringe at bedside.
    • Rationale:
  3. Position in prone position only.
    • Rationale:
  4. Provide cool mist for the first 24 hours.
    • Rationale:



Correct answer is A, B, and D. An Infant with cleft lip surgical procedure should be on their side or back. Prone position would cause rubbing on suture line and may obstruct breathing. Suction equipment must be at the bedside because gentle suction may keep the airway clear. Cool mist moisturizes secretions to reduce pooling in lungs.

Learning Outcomes

Test Taking Tip

Video Rationale