Certified Pediatric Nurse (CPN)

What is the most significant postoperative concern following a cleft palate repair?

1. A. Pain

2. B. Rupture of the suture lines

3. C. Infection

4. D. Dehydration

The correct answer is: B. Rupture of the suture lines

The most significant postoperative concern following a cleft palate repair is the potential rupture of the suture lines. After surgery, the area where the palate was repaired is still healing and can be quite fragile. Disruption to the suture lines can lead to complications such as the need for additional surgical interventions, prolonged healing times, and increased risk of infection. Maintaining the integrity of the sutures is crucial in ensuring that the palate heals properly and forms an important barrier for feeding and speech development. While pain, infection, and dehydration are all valid postoperative concerns in pediatric patients, the rupture of suture lines is specifically critical in the context of this surgery. Pain management is important for comfort but does not directly impact the surgical outcome. Infection is a concern in any surgical procedure but can often be monitored and treated effectively. Dehydration is generally a concern that may arise due to inability to eat or drink comfortably post-surgery, but it is typically manageable and not as critical as ensuring the surgical repair remains intact during the initial healing phase.