A nurse is providing teaching to a parent about sudden unexpected infant death (SUID). Which of the following statements should the nurse include?
"Share a bedroom with your infant for the first 6 months."
"Place your infant on a soft crib mattress after they are 4 months old."
"Cover your infant with a nonflammable blanket at bedtime."
"Use bumper pads around the interior of your infant's crib."
The Correct Answer is A
A. "Share a bedroom with your infant for the first 6 months." The American Academy of Pediatrics (AAP) recommends room-sharing (but not bed-sharing) for at least the first 6 months to reduce the risk of SUID/SIDS.
B. "Place your infant on a soft crib mattress after they are 4 months old." A firm mattress is always recommended, as soft bedding increases the risk of suffocation and SUID/SIDS.
C. "Cover your infant with a nonflammable blanket at bedtime." Blankets should not be used, as they pose a suffocation risk. Instead, parents should use a sleep sack or wearable blanket for warmth.
D. "Use bumper pads around the interior of your infant's crib." Bumper pads increase the risk of suffocation and entrapment and are not recommended for safe sleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Perform gastric lavage with activated charcoal. Activated charcoal is most effective if given within 1 hour of ingestion. Since the ingestion occurred 4 hours ago, activated charcoal would not be beneficial.
B. Begin hemodialysis within the next 24 hr. Hemodialysis is only used in severe cases of acetaminophen toxicity with liver failure, which is not indicated at this stage.
C. Prepare to give oral N-acetylcysteine. N-acetylcysteine (NAC) is the antidote for acetaminophen overdose and should be administered as soon as possible within 8 to 10 hours after ingestion to prevent liver damage.
D. Send the child home on increased fluid intake. Acetaminophen overdose can cause severe liver toxicity, so treatment in a medical setting is required, not just increased fluids at home.
Correct Answer is ["A","B","C","D","E","F","G","H","I","J"]
Explanation
- Heart rate 104/min – The heart rate has decreased from 114/min on Day 1, indicating improvement.
- Respiratory rate 24/min – The respiratory rate has decreased from 26/min, showing stabilization.
- SpO₂ 98% on room air – Oxygen saturation remains stable and adequate.
- Mucous membranes pink and moist – Indicates improved hydration.
- Radial pulse 2+ bilateral – Stronger pulse compared to the previous day’s 1+, suggesting better circulation.
- Capillary refill less than 2 seconds – Improved from the previous day’s delayed refill (4 seconds), showing better perfusion.
- Extremities warm and dry to touch – Indicates adequate circulation and hydration.
- Good skin turgor – Suggests the child is well-hydrated.
- Bowel sounds active in all 4 quadrants – Indicates normal gastrointestinal function.
- Breath sounds clear anterior and posterior bilaterally – No respiratory distress or abnormal findings.
Findings that do not indicate improvement:
- Temperature 38.9°C (102°F) – Slightly higher than the previous day (38.7°C), suggesting persistent fever.
- Drowsy and lethargic – The child is still lethargic, which may indicate ongoing illness.
- Nuchal rigidity present – No improvement in meningitis-related symptoms.
- Cervical lymph slightly enlarged – Indicates ongoing immune response.
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