1. Cleft lip and palate is a common congenital deformity resulting from incomplete fusion of tissues in the face and palate during early embryonic development between 4-8 weeks. 2. Risk factors for cleft lip and palate include family history, certain ethnicities being more susceptible, male sex, environmental exposures like smoking and medications during pregnancy, and advanced parental age. 3. Surgical repair of cleft lip is usually done by 6 months of age, with cleft palate repair by 12 months. Multiple surgeries may be needed. Nursing care focuses on adequate nutrition, positioning, and reducing family anxiety regarding the condition