{"id":4484,"date":"2024-10-09T12:29:33","date_gmt":"2024-10-09T12:29:33","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=4484"},"modified":"2026-03-20T13:50:46","modified_gmt":"2026-03-20T21:50:46","slug":"nclex-qotd-cleft-lip-and-palate","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-cleft-lip-and-palate","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Cleft lip and palate"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-cleft-lip-and-palate\/#The_correct_answers_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\" >The correct answers to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-cleft-lip-and-palate\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-cleft-lip-and-palate\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em><strong>Ready for your NCLEX-RN\u00ae question of the day?<\/strong> Find out which factors <strong>increase the risk of cleft lip and palate in infants<\/strong>, and boost your <strong>exam prep!<\/strong><br><\/em><br><strong>The nurse in the outpatient clinic<\/strong> is caring for several <strong>pregnant patients.<\/strong> Which patient(s) is\/are at risk for delivering an <strong>infant with cleft lip and\/or palate?<\/strong> <strong>Select all that apply.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A.&nbsp;A client exposed to radiation in the first trimester<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B.&nbsp;A client with a history of rubella during pregnancy<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. A client who is 32-years-old at the time of delivery<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D.&nbsp;A client taking anticonvulsants during pregnancy<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>E.&nbsp;A client who smoked cigarettes throughout their pregnancy&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em><strong>Scroll down for the correct answer!<\/strong><\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answers_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\"><\/span>The correct answers to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A.<strong>&nbsp;A client exposed to radiation in the first trimester<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> Radiation is a known <strong>teratogen<\/strong>, or something that can harm an unborn fetus, which can <strong>increase the risk of delivering an infant with cleft lip and palate.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B.<strong>&nbsp;A client with a history of rubella during pregnancy<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> Infections like <strong>rubella<\/strong> can <strong>increase the risk of delivering an infant with cleft lip and palate.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">D.<strong>&nbsp;A client taking anticonvulsants during pregnancy<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> <strong>Anticonvulsant medications<\/strong> may <strong>increase the risk<\/strong> of delivering an infant with <strong>cleft lip and palate.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">E.<strong>&nbsp;A client who smoked cigarettes throughout their pregnancy<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> <strong>Smoking cigarettes<\/strong> or exposure to cigarette smoke can <strong>increase the risk<\/strong> of delivering an infant with <strong>cleft lip and palate.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Cleft lip<\/strong> is an opening or a split in the <strong>upper lip<\/strong>, whereas <strong>cleft palate<\/strong> describes an opening or a split in the <strong>roof of the mouth<\/strong>, called the <strong>hard palate.<\/strong> The cause of cleft lip and palate is <strong>unknown<\/strong>, with some theories suggesting <strong>multifactorial genetic and environmental involvement.<\/strong> However, several <strong>risk factors<\/strong> for cleft lip and palate have been identified, including <strong>folate deficiency<\/strong>, as well as exposure to <strong>teratogens<\/strong>, such as <strong>maternal smoking<\/strong> and <strong>exposure to radiation<\/strong>, and using certain <strong>medications during pregnancy<\/strong>, such as <strong>anticonvulsants or steroids.<\/strong> Other risk factors include <strong>advanced maternal age<\/strong> and certain <strong>infections during pregnancy,<\/strong> especially the <strong>rubella virus.<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"975\" height=\"512\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/image-1.png\" alt=\"Title: CAUSES &amp; RISK FACTORS\nCause is unknown\nTheories suggest multifactorial genetic and environmental involvement\n- Folate deficiency\n- Infection, especially Rubella virus\n- Advanced maternal age\n_ Anticonvulsants and steroids\n- Exposure to teratogens (e.g., smoking cigarettes, radiation)\" class=\"wp-image-7236\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/image-1.png 975w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/image-1.png?resize=300,158 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/image-1.png?resize=768,403 768w\" sizes=\"auto, (max-width: 975px) 100vw, 975px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. A client who is 32-years-old at the time of delivery<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> <strong>Advanced maternal age<\/strong> is a <strong>risk factor<\/strong> for cleft lip and palate; however, this client is <strong>not of advanced maternal age<\/strong> since they are not <strong>over 35 years old.<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN3_2023.png?w=700\" alt=\"\" class=\"wp-image-5064\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN3_2023.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN3_2023.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Want more <strong>NCLEX\u00ae<\/strong>-style practice questions? Try <strong>Osmosis from Elsevier<\/strong> today! Access your\u00a0<a href=\"https:\/\/www.osmosis.org\/plans\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>free trial<\/strong><\/a>\u00a0and find out why millions of current and future clinicians and caregivers love <strong>learning with us<\/strong>.<\/em><a href=\"https:\/\/www.osmosis.org\/plans\/rn\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Discover key maternal risk factors linked to cleft lip and palate in infants and understand why certain exposures during pregnancy increase this risk.<\/p>\n","protected":false},"author":279,"featured_media":7235,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,1366,32],"tags":[1223,1218,1217,789,270,1219,1222,1221,1220,1216],"class_list":["post-4484","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-questions","category-nursing","tag-anticonvulsants","tag-cleft-lip","tag-cleft-palate","tag-congenital-defects","tag-maternal-health","tag-pregnancy-risks","tag-radiation-exposure","tag-rubella","tag-smoking-pregnancy","tag-teratogens"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Cleft lip and palate - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-cleft-lip-and-palate\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Cleft lip and palate - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Discover key maternal risk factors linked to cleft lip and palate in infants and understand why certain exposures during pregnancy increase this risk.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-cleft-lip-and-palate\" \/>\n<meta property=\"og:site_name\" content=\"Osmosis Blog\" \/>\n<meta property=\"article:published_time\" content=\"2024-10-09T12:29:33+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-20T21:50:46+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/10\/NCLEX_QOTD_Q4_2024_JTD_2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1080\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Paige Randall, PhD, MS, RN, CNE &amp; 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