The nurse is providing anticipatory guidance to a mother to help promote healthy sleep for her 3-week-old baby. Which recommended guideline might be included in the teaching plan?
Place the baby on a soft mattress with a firm, flat pillow for the head
Place the head of the bed near the window to provide fresh air weather permitting
If the baby sleeps through the night wake him or her up for the right feeding
Place the baby on his or her back when sleeping
The Correct Answer is D
A. Placing the baby on a soft mattress with a firm, flat pillow can increase the risk of Sudden Infant Death Syndrome (SIDS). Infants should sleep on a firm mattress without pillows or soft bedding to reduce the risk of suffocation.
B. Placing the head of the bed near the window for fresh air is not recommended due to potential drafts, temperature changes, or exposure to outdoor elements that might disturb the baby's sleep.
C. Waking a sleeping baby for feedings is generally not advised. Babies will wake on their own when hungry, and consistent nighttime feedings are essential, especially for a 3-week-old infant.
However, advice on this may vary based on the infant's individual health and weight gain, and it's best to follow the pediatrician's guidance.
D. Placing the baby on his or her back when sleeping is the recommended sleep position to reduce the risk of Sudden Infant Death Syndrome (SIDS). This practice is endorsed by pediatric healthcare professionals and is considered a critical guideline for safe infant sleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Acknowledging that food consumption might not significantly decrease helps manage the mother's expectations regarding her "picky eater" child and reduces potential stress around mealtime.
B. Adding fruit juice might contribute to increased sugar intake and may not necessarily address the nutritional concerns associated with picky eating.
C. Forcing a child to remain at the table after meals could create negative associations with mealtime and food, potentially exacerbating picky eating behavior.
D. Emphasizing quantity over quality doesn't address the nutritional concerns related to picky eating and might encourage unhealthy eating habits.
Correct Answer is A
Explanation
A. By 24 months, children are typically able to walk, run, and push or pull toys, such as a toy lawnmower, demonstrating gross motor skills and coordination. The inability to push a toy indicates possible delay in gross motor development.
B. Difficulty undressing self involves fine motor and self-care skills, which may vary among children and develop gradually; mild challenges are not necessarily delayed at 24 months.
C. Unscrewing a jar lid requires more advanced fine motor coordination than is expected of most 2-year-olds, so inability to perform this task is within normal developmental limits.
D. Occasional imbalance when bending is common in toddlers, as gross motor control and balance are still developing, and does not indicate a significant delay.
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