A nurse is reinforcing teaching with new parents about risk factors for sudden infant death syndrome (SIDS). Which of the following statements by a parent indicates an understanding of the teaching?
"I do not plan to offer my baby a pacifier during naps or at bedtime."
"My baby will be placed on her back when sleeping."
"Our baby will sleep in my bed because I am breastfeeding."
"We will place an antique quilt in our baby's crib."
The Correct Answer is B
A. "I do not plan to offer my baby a pacifier during naps or at bedtime.": Pacifier use during sleep is associated with a reduced risk of SIDS. Not offering it may increase risk.
B. "My baby will be placed on her back when sleeping.": Placing infants on their backs to sleep is the safest position and is strongly recommended to prevent SIDS.
C. "Our baby will sleep in my bed because I am breastfeeding.": Bed-sharing increases the risk of SIDS due to potential suffocation or overlay; room-sharing without bed-sharing is recommended.
D. "We will place an antique quilt in our baby's crib.": Soft bedding, including quilts, increases the risk of suffocation and SIDS. The crib should have a firm mattress with a fitted sheet only.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Flushed skin: Children with β-thalassemia more commonly have pale or sallow skin due to anemia.
B. Increased appetite: Malnutrition is common, and appetite may be poor due to splenomegaly and chronic illness.
C. Fever: While not a direct symptom of the genetic defect itself, children with beta-thalassemia are highly susceptible to infections and often present with unexplained fevers. This susceptibility is due to several factors, including potential iron overload from frequent transfusions (which can affect immune function) and splenomegaly or functional asplenia, which reduces the body’s ability to filter pathogens.
D. Hyperactivity: The hallmark of the anemia found in beta-thalassemia is fatigue and exercise intolerance. Because the tissues are not receiving adequate oxygen, the child is much more likely to exhibit lethargy, irritability, and decreased activity levels rather than hyperactivity.
Correct Answer is A
Explanation
A. Hemosiderosis: Hemosiderosis is the accumulation of iron in tissues (especially the liver, heart, and pancreas) due to frequent blood transfusions, a common treatment for thalassemia major. It can lead to organ damage if not managed with chelation therapy.
B. Hematuria: Hematuria (blood in urine) is not directly linked to repeated transfusions; it may indicate kidney issues.
C. Hemarthrosis: Hemarthrosis (bleeding into joints) is characteristic of hemophilia, not thalassemia.
D. Hemoptysis: Hemoptysis (coughing up blood) is usually related to pulmonary conditions, not a result of transfusions.
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