Certified Pediatric Nurse (CPN)

Following a cleft palate repair, which action should the nurse prioritize in Sarah's plan of care?

1. A. Position Sarah so that secretions drain from the mouth and suction her with a soft tipped catheter

2. B. Encourage Sarah's mother to hold and rock her frequently

3. C. Attempt to keep Sarah from crying, using her pacifier when upset

4. D. Keep Sarah hydrated by offering her juice and liquids in a bottle

The correct answer is: B. Encourage Sarah's mother to hold and rock her frequently

The correct answer highlights the importance of emotional support and bonding after a surgical procedure, especially in a pediatric context. Following a cleft palate repair, ensuring that Sarah's mother can hold and rock her frequently provides comfort and security, which can be critically important for her emotional well-being. This physical closeness fosters attachment and can help alleviate anxiety during recovery. Emotional support is essential for children as it can positively influence their healing process. When a caregiver is present and engaged, it also helps in regulating the child's stress levels, which can, in turn, contribute to a smoother recovery process. The nurturing action of holding and rocking can be soothing and promote a sense of safety for Sarah, which is particularly vital after undergoing a significant surgical intervention. While other options may seem beneficial in specific contexts, they do not address the immediate psychological and emotional needs of the child recovering from surgery to the same extent.