April 03, 2024 NCLEX Practice Question

NCLEX Practice Question

April 03 , 2024

Wednesday

A nurse is caring for a postpartum client who is being discharged with her newborn. Which discharge instruction should the nurse teach the client regarding newborn safety?

Ensure that the crib slats are no wider than 3 inches apart.
Place the baby in bed in the prone position while sleeping.
Place the infant care seat in the back seat facing forward.
Use an infant sleep sack when the newborn is in the crib.
 
Basic principles of newborn safety, particularly those related to proper car seat use and safe sleep practices, should be reinforced in postpartum discharge instructions. Proper car seat use:
  • Infants should be placed in a federally-approved, rear-facing safety seat secured in the back seat of the car (Option 3).
  • The harness should be snug with the retaining clip secured near the level of the armpits. Infants should be positioned at a 45-degree angle to prevent airway obstruction.
Safe sleep practices:
  • The supine position (Option 2) is recommended for infants in the first few months of life. This practice is associated with a lower incidence of sudden infant death syndrome (SIDS).
  • Infants should sleep in the crib in clothing such as a sleep sack (Option 4).
  • These lower the risk of suffocation by keeping the infant warm while preventing the head from being covered.
  • Parents should remove loose bedding and other objects (eg, blankets, bumper pads, stuffed animals, pillows) from the crib.
  • Crib slats should be no more than 21½ inches apart to prevent the infant’s head from becoming lodged between them (Option 1).
  • Educational objective:
Infants should be placed in a rear-facing safety seat secured in the back seat of the car. The supine position is recommended for infants to decrease the risk of SIDS. Infant sleep sacks keep the infant warm while preventing the head from becoming covered. Crib slats should be no more than 2 1½ inches apart to prevent injury.

 

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