The nurse is discussing sudden infant death syndrome (SIDS) with the parents of a newborn. Which of the following statements, if made by the parents, would require follow-up?
The nurse is discussing sudden infant death syndrome (SIDS) with the parents of a newborn. Which of the following statements, if made by the parents, would require follow-up?
A. "I have been keeping my baby warm with extra blankets while he sleeps."
[85%]
B. "I give my baby a pacifier at night while he sleeps."
[11%]
C. "I am keeping my baby up to date on his scheduled vaccinations."
[1%]
D. "I replaced my baby's sheepskin bedding with a firm mattress."
[3%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Newborn
Client Need
Test Plan
Health Promotion and Maintenance
Related Topic
Health Promotion/Disease Prevention
Item Type
Item Type
Analysis
Explanation
Choice A is correct. Environmental factors such as soft mattresses/bedding, blankets, bumper pads affixed to the crib, and accessories in the crib increase the risk for SIDS dramatically. The recommended sleeping position for an infant is supine, with no stuffed animals, blankets, or accessories.
Choices B, C, and D are incorrect. Evidence has shown that a baby sleeping with a pacifier is not a risk factor for SIDS. Current vaccinations decrease the risk of SIDS. Soft mattresses such as sheepskin should not be used. It was appropriate for the parents to modify the infant's mattress to a firm one.
Additional Info
➢ SIDS occurs higher in males and twins.
➢ The peak incidence is between two and four months.
➢ Other risk factors include exposure to cigarette smoke, prematurity, prone sleeping position, and overheating.
➢ Mitigating factors include a cool sleeping environment, supine sleeping, room-sharing (not bed-sharing), and sleeping on firm surfaces.
