Both cleft lip and cleft palate are congenital abnormalities that can occur in the womb. Repair surgery is usually done between 6-24 months of age. As far as nursing and NCLEX goes, prepare for assessment and interventions on caring for these types of patients. Assessment: ability to suck, swallow, breathe, and manipulate secretions without distress. Interventions: Hold infant in upright position to prevent aspiration. When feeding through bottle, position it into the side and back of the mouth and burp frequently. After Repair: NO suctioning, thermometer, forks, spoons, pacifiers, straws in the mouth. A soft elbow restraint may be put on the child to prevent site being touched. (Removing the restraints every 2 hours)