A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?
Placing your child on her back when sleeping will decrease the risk of SIDS.
SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines.
SIDS rates have been rising over the last 10 years.
Sleep apnea is the main cause of SIDS.
The Correct Answer is A
Choice A rationale
Placing a baby on their back to sleep significantly reduces the risk of SIDS. This position helps keep the airway open and reduces the risk of suffocation.
Choice B rationale
There is no direct correlation between SIDS and the diphtheria, tetanus, and pertussis vaccines. Vaccines are safe and do not increase the risk of SIDS3.
Choice C rationale
SIDS rates have actually decreased over the last 10 years, largely due to public health campaigns promoting safe sleep practices.
Choice D rationale
Sleep apnea is not the main cause of SIDS. The exact cause of SIDS is unknown, but it is believed to be related to defects in the brain that control breathing and arousal from sleep.
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Correct Answer is D
Explanation
Choice A rationale
Stretching arms out and then back in is a common reflex in newborns known as the Moro reflex. It is not a sign of feeding readiness but rather a response to a sudden loss of support or a loud noise.
Choice B rationale
Turning the head toward a parent’s voice is a sign of auditory recognition and bonding, not necessarily feeding readiness. It indicates the infant’s ability to recognize familiar sounds.
Choice C rationale
Grasping a parent’s finger when placed in the infant’s palm is a primitive reflex known as the palmar grasp reflex. It is not related to feeding readiness but is a normal reflexive action in newborns.
Choice D rationale
Bringing their hand to their mouth is a sign of feeding readiness. This action indicates that the infant is hungry and ready to feed. It is an early cue that the baby is ready to eat.
Correct Answer is C
Explanation
Choice A rationale
Wiping the cord daily with alcohol prep pads is not recommended. Current guidelines suggest keeping the cord clean and dry without the use of alcohol, as it can delay the natural drying and falling off process.
Choice B rationale
Keeping the cord moist is not recommended. The cord should be kept dry to promote natural drying and separation. Moisture can increase the risk of infection.
Choice C rationale
Folding the top of the diaper underneath the cord is recommended to keep the cord exposed to air and prevent irritation from urine or stool. This helps the cord dry out and fall off naturally.
Choice D rationale
Applying petroleum jelly to the cord stump is not recommended. The cord should be kept dry, and the use of ointments or creams can interfere with the natural drying process. .