The nurse is planning to teach infant care and preventive measures for sudden infant death syndrome (SIDS) to a group of new parents. Which information is most important for the nurse to include?
Ensure that the infant's crib mattress is firm.
Prop the infant with a pillow when in a side-lying position.
Swaddle the infant in a blanket for sleeping.
Place the infant in a prone position whenever possible.
The Correct Answer is A
A. Ensure that the infant's crib mattress is firm. Rationale: A firm mattress reduces the risk of SIDS as it prevents the infant's face from sinking into the mattress, which could obstruct
breathing.
B. Prop the infant with a pillow when in a side-lying position. Rationale: Pillows should not be used with infants due to the risk of suffocation and increased risk of SIDS.
C. Swaddle the infant in a blanket for sleeping. Rationale: While swaddling can be comforting, it should be done correctly to avoid too tight swaddling, which can lead to overheating, another SIDS risk factor.
D. Place the infant in a prone position whenever possible. Rationale: Infants should be placed on their backs to sleep, not on their stomachs, as back-sleeping is associated with a decreased risk of SIDS. Prone sleeping positions are discouraged.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Knowledge deficit: While the client may benefit from more information, the immediate concern is the emotional response to the anticipated pain.
B. Anxiety: This is the correct answer as the client is expressing worry about the ability to cope with future pain.
C. Pain (acute): Acute pain is not currently an issue; the client is anxious about future pain.
D. Anticipatory grieving: There is no indication that the client is experiencing a loss, which is required for anticipatory grieving. The concern is about managing future pain.
Correct Answer is A
Explanation
A. Obtain a capillary glucose level: The symptoms of jitteriness and tachypnea in a newborn could be indicative of hypoglycemia, so the first action should be to assess the glucose level to determine if hypoglycemia is the cause.
B. Feed 30 mL of 10% dextrose in water: While providing dextrose may be necessary if hypoglycemia is confirmed, assessing the glucose level should be done first to guide appropriate treatment.
C. Wrap tightly in a warm blanket: While keeping the newborn warm is important, it is not the first action to take in this scenario where the newborn is displaying signs of possible hypoglycemia.
D. Encourage the mother to breastfeeD Breastfeeding may help increase the newborn's glucose level, but the priority is to assess the glucose level first to determine if hypoglycemia is present.
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