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14 the nurse is assessing a small for gestational age

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14)The nurse is assessing a small-for-gestational-age newborn who had an oldersibling who died of sudden infant death syndrome (SIDS). Which should the nurse include inthe newborns plan of care based on these data?1.Encourage the parents to sleep with the newborn for close observation.2.Encourage the parents to place the newborn on the abdomen to sleep.3.Encourage the parents to place the newborn in a crib with a tight-fitting, firmmattress.4.Encourage the parents to place the newborn in a crib with a soft mattress withextra blankets.Answer:Explanation:1.Cobedding is not encouraged because it is associated with an increased risk for SIDS.2.A prone sleeping position is not encouraged because it is associated with an increasedrisk for SIDS.3.Placing the infant in a crib with a tight-fitting, firm mattress will help keep theinfant’s mouth free of obstructions. This is the recommended sleeping position andenvironment for all newborns but is especially important due to the history of SIDS.4.Quilts, blankets, and other soft items are not recommended as these increase therisk for SIDS. Put the newborn in a blanket sleeper instead.3
15) Which nursing actions are appropriate for the 2-month-old infant during a scheduledhealth maintenance visit? Select all that apply.Explanation:
1.It is appropriate for the nurse to review infant fluid needs with the parents duringthe 2-month health maintenance visit.2.It is appropriate for the nurse to reinforce the importance of heating bottles withwater versus the microwave with the parents during the 2-month health maintenancevisit.3.It is appropriate for the nurse to demonstrate proper gum care to the parentsduring the 2-month health maintenance visit.4.The nurse would not educate the parents to begin introducing solid foods during the2-month visit. Solid foods are not introduced until 6 months of age.
5.While juice should only be offered in a sippy cup, the nurse would not recommend thisduring the 2-month health maintenance visit. This subject is appropriate during the 6-month health maintenance visit.

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Term
Fall
Professor
N/A
Tags
Pediatrics, SIDS, American Academy of Pediatrics

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