Reduction of Risk PotentialQuestion 1206 of 2368

A newborn with a cleft palate has long, tiring feedings. Which assessment is most important for the nurse to make at each feeding?

  1. Signs of aspiration of formula or breast milk
  2. Presence of a honey-colored crust around the lips
  3. Time since the last bowel movement
  4. Color of the sclera and conjunctiva
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Correct answer: Signs of aspiration of formula or breast milk

An infant with a cleft can easily aspirate formula or breast milk, so feedings need close observation for aspiration.

Source: Nursing Health Promotion (Open RN, Chippewa Valley Technical College, 2025), Other Childhood Disorders: Implementation (Take Action). Licensed under CC BY 4.0.

Practice the topic "Reduction of Risk Potential"

Questions last reviewed: 18 October 2026