To prepare the family for the surgical repair of the cleft lip, which explanation by the nurse is most important?

• A. Show the parents pictures of infants who have undergone cosmetic surgery.
• B. Explain that the child will look exactly normal after surgery.
• C. Discuss the long-term need for orthodontic appliances.
• D. Emphasize that surgery is optional and may be delayed indefinitely.

Answer: (A)

Setting realistic expectations about postoperative appearance and recovery is essential when preparing the family for cleft lip repair. Showing the parents pictures of infants who have undergone the repair gives a concrete, hopeful view of what the child’s face may look like after healing. It helps them understand that swelling will subside, scars will form, and the overall appearance and function can improve, without promising perfection. This kind of visual, real-world example helps reduce anxiety, supports informed consent, and prepares the family for the typical course after surgery.

Telling them the child will look exactly normal is inaccurate and can set up false hopes. While future orthodontic care and dental alignment are important parts of ongoing management, they are not the immediate preoperative focus. Emphasizing that surgery is optional and can be delayed ignores the standard timing and necessity of repair and can undermine planning and care.