Pratica di Shadowing: Cleft Lip & Cleft Palate: Pediatrics - Alterations in Health | @LevelUpRN - Impara a parlare inglese con i video
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Hi, I'm Cathy with Level Up RN. In this video, I will be discussing cleft lip and cleft palate. And at the end of the video, I'm going to give you guys a little quiz to test your knowledge of some of the key points I'll be covering. So definitely stay tuned for that. And if you have our Level Up RN pediatric nursing flashcards, go ahead and pull out your flashcards on cleft lip and cleft palate and follow along with me.
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Cleft lip is a birth defect characterized by incomplete formation of the lip. And cleft palate is where we have incomplete formation of the palate, which is the roof of the mouth.
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Some children are born with both cleft lip and cleft palate. Risk factors that make it more likely that a baby will develop cleft lip and/or cleft palate include smoking, gestational diabetes, the use of certain medications, and a lack of folate during pregnancy.
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In terms of signs and symptoms, a baby with cleft lip will have an opening in their upper lip, which will vary in size. It may be a small slit, or it may be a large opening into the nose.
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A baby with cleft palate will have an opening in part or all of their palate, which, again, is the roof of their mouth. Both of these conditions can be diagnosed with a prenatal ultrasound or with visual inspection of the oral cavity at birth. Treatment includes surgical repair.
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Cleft lip is typically repaired when the baby is between 3 and 5 months of age, and cleft palate is typically repaired a little later, such as when the baby is between 9 and 12 months of age.
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There are complications associated with cleft lip and/or cleft palate, such as feeding, hearing, speech, and dental issues. So as the nurse, you want to provide appropriate referrals to help manage these complications. You also want to provide important teaching on how to best feed a baby with cleft lip and/or cleft palate. For a baby with cleft lip who is bottle-fed, a bottle with a nipple that has a wide base is typically recommended. And then squeezing the baby's cheeks together during feeding can help with getting a good lip seal.
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For a baby with cleft palate, you want to position the baby in an upright position and then a bottle that has a one-way flow valve and a specialty nipple that increases the flow of liquid is typically recommended. And then because babies with cleft palate often swallow a lot of air during feedings, it's important to burp the baby frequently when providing a feeding. After a baby has surgical repair of cleft lip or cleft palate, special precautions need to be taken to protect the operative site. So petroleum jelly should be used along the suture line in order to keep the area moist and to promote wound healing. Elbow immobilizers are typically used to prevent the baby from touching and damaging the operative site. And then pacifiers should be avoided, and feeding the baby with a syringe or dropper may be recommended because sucking, which makes the baby's mouth go like this, can disrupt the suture line.
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All right. It's quiz time, and I've got three questions for you.
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Question number 1, when feeding a baby with cleft lip, how can you improve their lip seal?
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The answer is you can squeeze their cheeks together during feeding.
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Question number 2, why are elbow immobilizers used after surgery to repair cleft lip or cleft palate?
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The answer is to prevent the baby from touching and damaging the operative site.
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Question number 3, the use of a pacifier is recommended after surgery to repair cleft lip or cleft palate, true or false? The answer is false because sucking can disrupt the suture line.
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All right. That is it for this video. I hope you found it to be helpful. Take care and good luck with studying. And then a bottle with a one-way flow valve and a specialty nipple.
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I invite you to subscribe to our channel and share a link with your classmates and friends in nursing school. If you found value in this video, be sure and hit the like button, and leave a comment and let us know what you found particularly helpful
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Vocabolario e note di pronuncia per questa lezione
Questa lezione di conversazione di livello C1 si basa sul video “Cleft Lip & Cleft Palate: Pediatrics - Alterations in Health”. Le parole che ritornano più spesso: cleft, lip, palate, baby, feeding. Questo video contiene 16 frasi e 723 parole da ripetere con lo shadowing. Il parlato dura 5:02. Chi parla mantiene un ritmo costante di circa 144 parole al minuto, comodo per lo shadowing. Solo il 72% delle parole rientra nelle 3.000 più comuni dell’inglese, quindi il lessico è impegnativo. 3 delle sue 16 frasi sono domande: un buon esercizio per l’intonazione interrogativa e le risposte brevi.
Vocaboli chiave di questo video
Le 15 parole più avanzate del video, con pronuncia e significato:
| Parola | Pronuncia | Significato |
|---|---|---|
| cleave verbo | /ˈkliːv/ | fendere |
| palate sostantivo | /ˈpæl.ət/ | palato |
| nipple sostantivo | /ˈnɪp.əl/ | capezzolo |
| suture sostantivo | /ˈsu.t͡ʃɚ/ | sutura |
| operative aggettivo | /ˈɑpəɹətɪv/ | operativo |
| pacifier sostantivo | /ˈpæsɪfaɪɚ/ | pacificatore, paciere |
| disrupt verbo | /dɪsˈɹʌpt/ | disturbare |
| quiz sostantivo | /kwɪz/ | quiz |
| elbow sostantivo | /ˈɛlboʊ̯/ | gomito |
| incomplete aggettivo | /ɪn.kəmˈpliːt/ | incompleto |
| specialty sostantivo | /ˈspɛʃ.əl.ti/ | specialità |
| squeeze verbo | /skwiːz/ | spremere, stringere |
| cheek sostantivo | /t͡ʃiːk/ | faccia tosta, sfrontatezza |
| surgical aggettivo | /ˈsɝd͡ʒɪkəl/ | chirurgico |
| characterize verbo | /ˈkɛɹəktəɹaɪz/ | caratterizzare |
I phrasal verb che sentirai
| Parola | Pronuncia | Significato |
|---|---|---|
| go ahead verbo | /ˌɡoʊ əˈhɛd/ | procedere, andare avanti |
La grammatica di questo video
Le strutture che chi parla usa di più, con le parole esatte del video:
| Struttura | Nel video |
|---|---|
| Forma passiva be + participio passato — conta ciò che accade, non chi lo fa | are born · can be diagnosed · be taken |
| Frasi relative who / which + frase — un’informazione in più su una persona o una cosa | palate, which is · lip, which will · sucking, which makes |
Pronuncia a cui fare attenzione
Chi parla usa 4 contrazioni e forme ridotte, come I'm, I'll, I've. Pronunciale nella forma breve, così come le senti.
- I suoni “sh” e “zh”: complication /ˌkɑm.pləˈkeɪ.ʃən/, flashcard /ˈflæʃˌkɑɹd/, specialty /ˈspɛʃ.əl.ti/, precaution /pɹiːˈkɔ.ʃən/
- Parole lunghe — attenzione all’accento: operative /ˈɑpəɹətɪv/, complication /ˌkɑm.pləˈkeɪ.ʃən/, characterize /ˈkɛɹəktəɹaɪz/, pediatric /ˌpiːdiːˈætrɪk/
I suoni difficili per chi parla italiano:
- Consonante finale — senza aggiungere una vocale dopo: cleave /ˈkliːv/, palate /ˈpæl.ət/, operative /ˈɑpəɹətɪv/, flashcard /ˈflæʃˌkɑɹd/, disrupt /dɪsˈɹʌpt/
- /æ/ — più aperta della “e”: palate /ˈpæl.ət/, flashcard /ˈflæʃˌkɑɹd/, pacifier /ˈpæsɪfaɪɚ/, classmate /ˈklæs.meɪt/, pediatric /ˌpiːdiːˈætrɪk/
Come esercitarsi con questo video
- Ascolta tutto il video una volta senza parlare e annota le parole che non conosci.
- Fai shadowing frase per frase a velocità normale, ripetendo ognuna finché il tuo ritmo coincide con quello di chi parla.
- Registrati e confronta con l’originale, facendo attenzione a parole come cleave, palate, nipple.
Cos'è la tecnica dello Shadowing?
Shadowing è una tecnica di apprendimento delle lingue supportata da studi scientifici, originariamente sviluppata per la formazione dei traduttori professionisti e resa popolare dal poliglotta Dr. Alexander Arguelles. Il metodo è semplice ma potente: ascolti un audio in inglese di madrelingua e lo ripeti immediatamente ad alta voce — come un'ombra che segue il parlante con un ritardo di solo 1–2 secondi. A differenza dell'ascolto passivo o degli esercizi di grammatica, lo shadowing costringe il tuo cervello e i muscoli della bocca a elaborare e riprodurre simultaneamente i modelli di discorso reale. La ricerca dimostra che migliora significativamente la precisione della pronuncia, l'intonazione, il ritmo, il discorso connesso, la comprensione dell'ascolto e la fluidità del parlato — rendendolo uno dei metodi più efficaci per la preparazione alla prova di speaking dell'IELTS e per la comunicazione reale in inglese.