March 28 – 2024 – NCLEX Practice Questions

NCLEX Practice Questions

March 28 – 2024

The registered nurse is teaching a class of expectant parents about infant safety. Which statement by a class participant indicates a need for further instruction?

I will make sure there is a firm mattress in the crib.
I will put my baby to bed with a pacifier.
I will tie bumper pads to the sides of the crib to protect my baby’s head.
I will use a sleeping sack or a thin tucked blanked to cover my baby.
 
Sudden infant death syndrome (SIDS) is the leading cause of death among infants aged 1 month to 1 year. Nurses play a crucial role in informing parents about child care practices that reduce the risk of SIDS. These measures include:
  • Placing infants age less than 1 year on their backs to sleep on a firm surface. The prone or side sleep position should never be used. Infants should not share a bed with parents/caregivers.
  • Avoiding soft objects such as stuffed animals, heavy blankets, and pillows in the infant’s bed. A thin blanket tucked into the sides and bottom of the mattress can be used to cover the infant.
  • Avoiding bumper crib pads, which have not been shown to be effective in preventing infant injury and likely increase the risk of SIDS (Option 3)
  • Maintaining a smoke-free environment • Avoiding overheating; if the infant is wearing a sleeper (“onesie”) or a sleeping sack, even a blanket may not be necessary.
  • A fan may help reduce the temperature and circulate air in a warm room
Use of a pacifier when placing the infant to sleep (after age 1 month to ensure that breastfeeding has been established for infants who are breastfed) Breastfeeding and keeping the infant’s immunizations up to date (Option 1)
Infants should sleep on a firm surface/mattress. (Option 2)
Placing infants to sleep with a pacifier may reduce the risk of SIDS. (Option 4)
If a blanket is used, it should be thin and tucked around the sides and bottom of the mattress. Educational objective: The risk of SIDS can be reduced by following safe sleep practices and prevention guidelines. Infants should always be placed on the back on a firm surface without loose bedding or toys. Preventive measures include maintaining a smoke-free environment, avoiding overheating, promotion of breastfeeding, and pacifier use.

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