The nurse is educating the caregivers of an 8-month-old infant who has frequent nighttime awakenings and difficulty falling asleep. Which recommendation should the nurse prioritize to improve the infant's sleep patterns?
"Establish a consistent bedtime routine and ensure the infant sleeps on their back in a safe sleep environment."
"Encourage the infant to sleep in the caregivers' bed to reduce anxiety and improve sleep duration."
"Avoid daytime naps to increase sleep pressure and ensure the infant sleeps longer at night."
"When the baby is crying, you should rush in to help comfort them and then put them back to bed."
The Correct Answer is A
A. "Establish a consistent bedtime routine and ensure the infant sleeps on their back in a safe sleep environment.": Consistency in bedtime routines helps infants anticipate sleep, promoting longer and more restorative sleep. Placing the infant on their back in a safe sleep environment reduces the risk of sudden infant death syndrome (SIDS) while supporting healthy sleep patterns.
B. "Encourage the infant to sleep in the caregivers' bed to reduce anxiety and improve sleep duration.": Bedsharing increases the risk of SIDS and is not recommended for infants under 1 year old. Independent sleep in a safe sleep environment is preferred to promote safety and self-soothing skills.
C. "Avoid daytime naps to increase sleep pressure and ensure the infant sleeps longer at night.": Restricting naps can lead to overtiredness, making it harder for the infant to fall asleep and stay asleep. Age-appropriate naps support healthy development and nighttime sleep regulation.
D. "When the baby is crying, you should rush in to help comfort them and then put them back to bed.": While responding to distress is important, immediately rushing in every time may prevent the infant from developing self-soothing abilities. Gradual, consistent approaches are recommended to improve independent sleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The child has taken phenytoin medication for seizures: Phenytoin use is not associated with the development of arteriovenous malformations. Anticonvulsants do not increase AVM risk; they are prescribed to manage seizure activity, which may occur if an AVM is already present.
B. The child is a 6-year-old female: Age and sex alone are not considered risk factors for AVMs. While AVMs can present in childhood, there is no significant predilection based solely on being female or the child’s age.
C. The child has a genetic history of Hippel-Lindau disease: Genetic disorders such as Hippel-Lindau disease are associated with increased risk of vascular malformations, including AVMs. Recognizing a family or personal history of these conditions is essential in assessing risk.
D. The client smoked while they were pregnant with the child: Maternal smoking is linked to low birth weight and certain congenital defects, but it is not a known risk factor for the development of arteriovenous malformations.
Correct Answer is ["A","B","D"]
Explanation
A. The final booster dose is administered at 12 to 15 months of age: The Hib vaccine series is completed with a booster in the second year of life, which ensures long-term immunity against invasive Hib infections.
B. The vaccine is administered intramuscularly: Hib vaccine is given via IM injection, typically in the anterolateral thigh for infants or the deltoid for older children, which is important for proper absorption and immune response.
C. The first dose of this vaccine can be administered to a newborn immediately after birth: The Hib vaccine is not given at birth; the series begins at 2 months of age according to the recommended immunization schedule.
D. The vaccine reduces the risks for meningitis and epiglottitis: Hib vaccination protects against serious infections caused by Haemophilus influenzae type b, including meningitis, epiglottitis, and pneumonia, reducing morbidity and mortality.
E. An allergy to eggs is a contraindication to this vaccine: Egg allergy is not a contraindication for Hib vaccine; it is safe for children with this allergy.
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