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. The step reflex is an expected primitive reflex in infants, disappearing around 2 months of age.Therefore, if ounf in a 4 month old baby, the nurse should be concerned.
B. The plantar grasp reflex should be present in infants and typically disappears by 9 to 12 months of age.
C. Neck righting reflex is a normal response in infants, allowing them to orient their heads in relation to their body movements.
D. The Babinski reflex is typically present in infants but should disappear by around 12 months of age. If it persists beyond this age, it could indicate neurological concerns and warrant further evaluation. therefore, the reflex is normal in a 44 month old baby
Correct Answer is C
Explanation
A. Encouraging the parents to speak English to the child may influence language acquisition but might not be the priority if there are concerns about speech development.
B. Referring the child to a developmental specialist could be considered, but conducting a developmental evaluation should be the first step to determine if intervention is needed.
C. Performing a developmental evaluation will provide a clearer understanding of the child's speech and language development to ascertain if there are delays or concerns.
D. While understanding if the child uses Spanish words is relevant, it may not be the priority over a comprehensive developmental assessment.
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