Which postoperative measure is used to protect the surgical site after cleft lip repair in an infant?

• A. Arm restraints
• B. Cleansing the suture line
• C. Feeding schedule
• D. Bathing schedule

Answer: (A)

Protecting the repair site by preventing the infant from reaching and rubbing at the lip incision is crucial after cleft lip repair. Arm restraints accomplish this by keeping the hands away from the mouth, reducing the risk of pulling, twisting, or disturbing the sutures as the infant moves or sleeps. When the sutures are protected, healing can proceed with less risk of dehiscence or infection, which helps the incision to stay aligned and close properly. Restraints are usually soft elbow restraints used for a short period under a clinician’s order, with careful nursing checks for circulation and skin integrity, and with periods allowed for feeding and skin care. Parents are guided on how to monitor the restraints and when to remove them.