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. Assessing DTRs when the client has ankle edema is important, but it is not the most critical time. Ankle edema can be a common occurrence in pregnancy due to increased fluid volume and changes in blood flow.
B. Elevated blood pressure in a pregnant client can be a sign of preeclampsia, a serious condition that can lead to complications for both the mother and the baby. Assessing DTRs can help in
detecting hyperreflexia, which is a sign of preeclampsia. Therefore, it is most important to assess DTRs when there is an elevated blood pressure.
C. While assessing DTRs during admission to labor and delivery is a standard procedure to monitor the client's neurological status, it is not as critical as assessing them when there is an elevated blood pressure.
D. Assessing DTRs within the first trimester of pregnancy is not typically a priority unless there are specific clinical indications or concerns. Elevated blood pressure is a more immediate
concern that requires prompt assessment of DTRs
Correct Answer is C
Explanation
A. Notify the emergency response team of the client's seizure: While the seizure is significant, it lasted less than 1 minute and resolved spontaneously. There is no need to call an emergency response team unless complications arise or the seizure becomes prolonged.
B. Keep orienting the client to time and space until he is less confused: While supportive, this is not the priority. Postictal confusion is expected and does not usually require active reorientation until the client regains baseline status.
C. Explain the postictal state that usually follows seizures: Providing reassurance and education to the spouse about postictal symptoms (such as confusion, lethargy, and altered responsiveness) is appropriate and therapeutic. It addresses her concern while monitoring the client for further changes.
D. Ask the wife to wait outside the room until the nurse can talk with her: This action excludes the spouse unnecessarily and delays communication. Involving the family promotes trust and understanding.
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