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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) 45 inches - This would be an unusually high growth of 5 inches in one year, which is above the average growth rate for a child of this age.
B) 47 inches - This represents a growth of 7 inches in one year, which is significantly higher than the expected average and is highly unlikely.
C) 41 inches - This indicates a growth of only 1 inch in a year, which is below the average growth rate for a 5-year-old child.
D) 43 inches - This is a growth of 3 inches from the last examination and falls within the normal range of growth for a preschooler, which is approximately 2 to 3 inches per year.
Correct Answer is A
Explanation
A. The child does not point to named body parts. By the age of 2, most children can point to at least two body parts when asked. This ability indicates that the child understands and can process verbal instructions, which is a key cognitive milestone.
B. The child cannot say name, age, and gender. While knowing their name, age, and gender is important, it is more typical for children to achieve this milestone closer to 3 years old. Therefore, this would not necessarily indicate a developmental delay at 2 years.
C. The child cannot follow a series of two independent commands. By 2 years old, children should be able to follow simple two-step commands, such as "Pick up the toy and give it to me." This ability demonstrates their understanding and processing of sequential instructions.
D. The child has a vocabulary of 40 to 50 words. A vocabulary of 40 to 50 words is within the normal range for a 2-year-old. Most children at this age are expected to have a vocabulary of at least 50 words and start combining them into simple sentences.
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