Prática de Shadowing: Cleft Lip & Cleft Palate: Pediatrics - Alterations in Health | @LevelUpRN - Aprenda a falar inglês com vídeo
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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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Vocabulário e dicas de fala para esta lição
Esta aula de conversação de nível C1 usa o vídeo “Cleft Lip & Cleft Palate: Pediatrics - Alterations in Health”. As palavras que mais se repetem: cleft, lip, palate, baby, feeding. Este vídeo tem 16 frases e 723 palavras para praticar shadowing. A fala dura 5:02. O falante mantém um ritmo estável de cerca de 144 palavras por minuto, confortável para o shadowing. Apenas 72% das palavras estão entre as 3.000 mais comuns do inglês, por isso o vocabulário é exigente. 3 das 16 frases são perguntas, por isso é um bom treino para a entonação de perguntas e respostas curtas.
Vocabulário principal deste vídeo
As 15 palavras mais avançadas do vídeo, com pronúncia e significado:
| Palavra | Pronúncia | Significado |
|---|---|---|
| cleave verbo | /ˈkliːv/ | partir, talhar |
| palate substantivo | /ˈpæl.ət/ | palato, céu da boca |
| nipple substantivo | /ˈnɪp.əl/ | mamilo, bico do peito |
| suture substantivo | /ˈsu.t͡ʃɚ/ | sutura, ponto |
| flashcard substantivo | /ˈflæʃˌkɑɹd/ | flash card, flashcard |
| pacifier substantivo | /ˈpæsɪfaɪɚ/ | pacificador |
| disrupt verbo | /dɪsˈɹʌpt/ | interromper, impedir |
| quiz substantivo | /kwɪz/ | quiz |
| elbow substantivo | /ˈɛlboʊ̯/ | cotovelo |
| incomplete adjetivo | /ɪn.kəmˈpliːt/ | incompleto |
| specialty substantivo | /ˈspɛʃ.əl.ti/ | especialidade |
| squeeze verbo | /skwiːz/ | espremer, apertar |
| cheek substantivo | /t͡ʃiːk/ | bochecha, nádega |
| surgical adjetivo | /ˈsɝd͡ʒɪkəl/ | cirúrgico |
| characterize verbo | /ˈkɛɹəktəɹaɪz/ | caracterizar, caraterizar |
Phrasal verbs que você vai ouvir
| Palavra | Pronúncia | Significado |
|---|---|---|
| go ahead verbo | /ˌɡoʊ əˈhɛd/ | vai em frente |
| pull out verbo | retirar, retirar-se |
Gramática neste vídeo
As estruturas que o falante mais usa, com as palavras exatas do vídeo:
| Estrutura | No vídeo |
|---|---|
| Voz passiva be + particípio passado — o foco está no que acontece, não em quem faz | are born · can be diagnosed · be taken |
| Orações relativas who / which + oração — informação extra sobre uma pessoa ou coisa | palate, which is · lip, which will · sucking, which makes |
Pronúncia para ficar de olho
O falante usa 4 contrações e formas reduzidas, como I'm, I'll, I've. Diga-as na forma curta, do jeito que você ouve.
- Os sons de “sh” e “zh”: complication /ˌkɑm.pləˈkeɪ.ʃən/, flashcard /ˈflæʃˌkɑɹd/, specialty /ˈspɛʃ.əl.ti/, precaution /pɹiːˈkɔ.ʃən/
- Palavras longas — acerte a sílaba tônica: operative /ˈɑpəɹətɪv/, complication /ˌkɑm.pləˈkeɪ.ʃən/, characterize /ˈkɛɹəktəɹaɪz/, pediatric /ˌpiːdiːˈætrɪk/
Sons difíceis para falantes de português:
- Consoante final — sem acrescentar um “i” depois: palate /ˈpæl.ət/, flashcard /ˈflæʃˌkɑɹd/, disrupt /dɪsˈɹʌpt/, incomplete /ɪn.kəmˈpliːt/, cheek /t͡ʃiːk/
- /l/ final — a língua toca o céu da boca, não vira “u”: nipple /ˈnɪp.əl/, surgical /ˈsɝd͡ʒɪkəl/, referral /ɹɪˈfɜː.ɹəl/
- s + consoante no início — sem um “i” antes: specialty /ˈspɛʃ.əl.ti/, squeeze /skwiːz/, swallow /ˈswɑ.loʊ/
Como praticar com este vídeo
- Ouça o vídeo inteiro uma vez sem falar e anote as palavras que você não conhece.
- Faça shadowing frase por frase na velocidade normal, repetindo cada uma até o seu ritmo ficar igual ao do falante.
- Grave a sua voz e compare com o original, prestando atenção a palavras como cleave, palate, nipple.
O que é a Técnica de Shadowing?
Shadowing é uma técnica de aprendizado de idiomas com base científica, originalmente desenvolvida para o treinamento de intérpretes profissionais. O método é simples, mas poderoso: você ouve áudio em inglês nativo e repete imediatamente em voz alta — como uma sombra seguindo o falante com 1-2 segundos de atraso. Pesquisas mostram melhora significativa na precisão da pronúncia, entonação, ritmo, sons conectados, compreensão auditiva e fluência na fala.