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. Turning off the room light might aid sleep, but providing specific bedtime rituals is more effective in establishing a sleep routine and signaling to the toddler that it's time to rest.
B. While addressing fears is important, it might not immediately resolve the toddler's difficulty sleeping; establishing bedtime rituals helps create a calming environment.
C. Evening play exercises might energize the toddler rather than promoting sleep, so they might not be conducive to improving sleep during hospitalization.
D. Bedtime rituals, like a soothing bath, reading a book, or soft music, can create a predictable routine that signals to the toddler it's time to wind down and sleep.
Correct Answer is A
Explanation
A. Offering the child a choice empowers them and provides a sense of control. It might increase cooperation as it involves the child in the decision-making process.
B. Threatening with a shot is coercive and can cause fear and anxiety, negatively impacting cooperation and trust.
C. Hiding medication in food without the child's knowledge might breach trust once discovered and doesn't address the child's autonomy.
D. Misrepresenting medication as candy can be dangerous and erode trust between the child and the healthcare provider.
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