The nurse educates the parents on actions to prevent sudden infant death syndrome.
Which observation indicates the teaching has been effective?

Mother removes pacifier from the newborn's mouth.

The newborn is on an every 2-hour feeding schedule.

Newborn is placed in bassinet on the back.

Newborn is placed in bassinet with a blanket draped over them.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Removing a pacifier does not align with preventing SIDS. Studies suggest pacifier use during sleep reduces the risk of SIDS by maintaining airway patency and ensuring better sleep quality, though it should be used appropriately without attaching strings or clips that may pose risks.

Choice B rationale

Feeding every 2 hours does not directly prevent SIDS but supports adequate nutrition for growth and development. While proper feeding schedules are important, specific sleeping arrangements and environment management play a more significant role in reducing SIDS risk.

Choice C rationale

Placing the newborn on their back to sleep aligns with safe sleep recommendations to prevent SIDS. This position reduces the risk of airway obstruction and promotes proper breathing. The supine sleep position is widely endorsed by health organizations for its protective effect.

Choice D rationale

Draping a blanket over the newborn increases the risk of suffocation and overheating, both of which are associated with SIDS. It is essential to keep sleep environments free of loose items and ensure the baby is dressed appropriately for the room's temperature to reduce these risks.

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Correct Answer is B

Explanation

Choice A rationale

Teaching the child how to use an inhaler supports self-management but does not address developmental readiness for independent inhaler use. At five years old, children often require supervision due to incomplete cognitive and motor development.

Choice B rationale

Providing information to the caregiver about child development stages clarifies expectations for independent inhaler use. This knowledge aligns with the protective factor of ensuring developmentally appropriate interventions for pediatric asthma management.

Choice C rationale

Community resources offer support but do not directly relate to the child's ability to use the inhaler without supervision. While beneficial, this option does not prioritize the developmental readiness aspect of pediatric care.

Choice D rationale

Referring the caregiver to an asthma educator focuses on skill-building and education but overlooks the specific developmental readiness of the child. Direct caregiver education on developmental milestones is more impactful in this context. .

A. The elevated AFP means my baby may have Down syndrome. B. The elevated AFP means my baby may have spina bifida. C. The elevated AFP means my baby has Down syndrome. D. The elevated AFP means my baby has spina bifida.

Correct Answer is B

Explanation

Choice A rationale

Elevated AFP levels are not typically associated with Down syndrome. In fact, pregnancies with Down syndrome often show decreased levels of AFP in maternal serum screening. AFP is a protein produced by the fetal liver, and its levels vary depending on developmental abnormalities like neural tube defects, not chromosomal disorders like Down syndrome.

Choice B rationale

Elevated AFP levels in a pregnant patient indicate potential neural tube defects such as spina bifida. Spina bifida results from incomplete closure of the fetal neural tube during early pregnancy, leading to exposure of neural tissues. AFP leaks into the maternal serum through this defect, thus raising its concentration significantly, which serves as a marker.

Choice C rationale

AFP levels are generally low in cases of Down syndrome due to chromosomal anomalies. Trisomy 21 pregnancies display distinctive serum markers, including decreased AFP. Elevated AFP does not signify Down syndrome because the pathology involves a different spectrum of physiological abnormalities.

Choice D rationale

While spina bifida is indeed a condition associated with elevated AFP, this statement is less accurate due to the phrasing. AFP elevations serve as an indicator rather than definitive confirmation of spina bifida. Further diagnostic tests like ultrasonography or amniocentesis are needed to confirm the condition.

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The nurse educates the parents on actions to prevent sudden infant death syndrome.Which observation indicates the teaching has been effective?

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Naxlex Comprehensive Predictor Exams

A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event.The child's caregiver expects the child to use an inhaler without supervision.The nurse can apply which of the following interventions as protective factors for the child?

Correct Answer is B

Explanation

Which statement made by a pregnant patient indicates teaching was effective related to an elevated alpha fetoprotein (AFP) level?

Correct Answer is B

Explanation

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The nurse educates the parents on actions to prevent sudden infant death syndrome.
Which observation indicates the teaching has been effective?