For discharge instructions to the parents of a child with a cleft lip, what should the nurse emphasize?

• A. Encourage the infant to rest during feedings
• B. Feed the infant without breaks
• C. Increase formula temperature
• D. Introduce solid foods at once

Answer: (A)

Feeding a baby with a cleft lip takes more effort because the lip defect makes it harder to form a seal and generate suction. Because of that extra effort, the infant tires more quickly during a feed. Emphasizing rest periods during feeds helps conserve the baby’s energy, improves milk intake, and supports better weight gain. Parents should be guided to pace feeds, pause to let the baby rest, and feed in a calm, upright position so breathing stays easy and the infant doesn’t get overwhelmed. Avoid rushing the feed or allowing the infant to go without breaks, and ensure the formula is at a comfortable temperature. Solids should not be started immediately; introduce them at the appropriate age and readiness.