Question

A 4-day-old infant is admitted to the pediatric unit with a cleft lip and palate. Surgery to repair the lip is scheduled for later in the week. Which assessment finding requires notification of the surgeon and will probably result in cancellation of the surgery?

a. Monitoring for the presence of fever
b. Monitoring for signs of preeclampsia
c. Monitoring for heavy vaginal bleeding
d. Making preparations for fetal scalp pH sampling

Answer 1

a. Monitoring for the presence of fever

Step-by-step explanation:

When membranes have ruptured and birth is not imminent, the possibility of an ascending infection increases. Hence, the infant shall be monitored for presence of sepsis and infection causing fever symptoms. Preeclampsia cannot occur because infant has undergone membrane rupture and it is unrelated in this condition. Heavy vaginal bleeding is generally observed before membrane rupture which is not evident in this case. Fetal scalp pH sampling is also not required because it is performed during persistent decelerations on the fetal monitor during delivery.