Cheiloplasty is advised for repair of-

Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2022

Explanation

Cheiloplasty is the specific surgical term for the repair of a cleft lip (cheiloschisis), a congenital anomaly where the upper lip does not form completely.
The term originates from the Greek words 'cheilos' (lip) and 'plasty' (to mold or shape), directly indicating its purpose is lip reconstruction.
The procedure aims to close the cleft, restore muscle function for feeding and speech, and improve the child's facial appearance.
Timing for the surgery is often determined by the 'Rule of 10s': the infant should be at least 10 weeks old, weigh 10 pounds, and have a hemoglobin of 10 g/dL.

Option A: Club foot (talipes equinovarus) is a congenital foot deformity.
Option B: This typically refers to Developmental Dysplasia of the Hip (DDH), a condition of the hip joint.
Option D: A cleft palate is an opening in the roof of the mouth. While it can occur with a cleft lip, its surgical repair is a distinct procedure.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Surgical Terminology: Cheiloplasty for Cleft Lip Repair as background academic context rather than a clinical decision trigger.
Post-operative care after cheiloplasty is critical for a successful outcome. Nurses must prioritize protecting the delicate suture line from tension, trauma, and infection.
Feeding techniques must be modified post-surgery. Using a specialized feeder and feeding in an upright position prevents aspiration and protects the incision.
Parental education is a key nursing role, covering incision care, feeding methods, use of elbow restraints, and signs of complications like infection or dehiscence.

How to Approach the Question

First, identify the core term in the question: 'Cheiloplasty'.
Break down the medical term into its roots. 'Cheilo-' refers to the lip, and '-plasty' refers to surgical repair or molding.
Combine the roots to understand the meaning: 'Cheiloplasty' is the surgical repair of the lip.
Scan the options to find the condition that involves a lip defect. 'Cleft Lip' is the direct match.
Mentally eliminate the other options by recalling their respective treatments (Palatoplasty for cleft palate, Ponseti method for club foot, Pavlik harness for DDH).

Concept Tested & Keywords

QvERpUYJ7AYrq4sZbXmaFD

E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 2 (pp 239-476 of 713) p. 155-157

E6 Nelson Textbook of Pediatrics(2024) — Volume 2 p. 20-22

Practise the full RUHS, Jaipur, PB B.Sc Nursing Entrance-2022

Attempt every question from this paper in a timed mock, then review the full solution for each one.