Certified Pediatric Nurse (CPN)

Which risk is not associated with infants with cleft lip and palate?

1. Pneumonia

2. Otitis media

3. Altered bonding with parents

4. Gastroesophageal reflux (GER)

The correct answer is: Gastroesophageal reflux (GER)

Infants with cleft lip and palate are indeed at a higher risk for various complications due to their condition. However, among the options provided, gastroesophageal reflux (GER) is generally not considered a direct consequence of cleft lip and palate. The risks associated with cleft lip and palate often stem from anatomical and functional challenges related to feeding, speech, and hearing. Pneumonia is a potential risk due to aspiration when feeding, as infants may have difficulty properly sealing their lips, leading to food entering the airway. Otitis media is common in these infants as well, primarily because of the connection between the middle ear and nasopharynx, leading to increased fluid accumulation and infections. Altered bonding with parents can occur due to the visible nature of the cleft and potential feeding difficulties, which may create stress for both the infant and the caregivers. While gastroesophageal reflux is a condition that some infants may experience, it is not inherently linked to the anatomical issues presented by cleft lip and palate. Thus, GER stands apart from the other risks, making it the appropriate choice in this context.