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 A
Explanation
A. "Have the child bend forward at the waist and check for asymmetry of the scapula." This maneuver is known as the Adam's forward bend test and is used to screen for scoliosis, which commonly appears during adolescence.
B. "Auscultate the abdomen for at least 1 min if bowel sounds are absent." If bowel sounds are absent, the nurse should listen for at least 5 minutes in each quadrant before concluding they are truly absent.
C. "Use the FACES scale to assess pain." The FACES scale is typically used for younger children (3-7 years old). Adolescents can usually use a numeric rating scale (0-10) for pain assessment.
D. "Observe abdominal movement to determine the respiratory rate." Abdominal breathing is characteristic of infants and younger children. In adolescents, the nurse should observe chest movement to assess respiratory rate.
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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