Author Question: The nurse is planning care for a baby of African-American descent born to a mother who smoked during ... (Read 73 times)

jrubin · **on:** Jun 25, 2018

The nurse is planning care for a baby of African-American descent born to a mother who smoked during the pregnancy. Which nursing diagnosis would be appropriate for this baby?

A) Risk for Sudden Infant Death Syndrome (SIDS)
B) Readiness for Enhanced Parenting
C) Anxiety
D) Deficient Knowledge

Question 2

The nurse is planning care for a new mother of African-American descent who smoked during the pregnancy and whose sister lost a child to sudden infant death syndrome (SIDS).

Which interventions are appropriate for the nurse to include in the plan of care for the new mother and baby?
Select all that apply.
A) Information on bottle-feeding the infant
B) Reasons why the child should sleep with others
C) Ages at which the child should receive immunizations
D) Using bedding that is firm
E) Smoking cessation information

Sophiapenny · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

The most important nursing diagnosis for the baby at this time is Risk for SIDS. Babies of African-American descent have twice the risk of SIDS than babies of Caucasian descent. Another risk factor is that the mother smoked during the pregnancy. Deficient Knowledge, Readiness for Enhanced Parenting, and Anxiety are appropriate nursing diagnoses for the mother, not the baby.

Answer to Question 2

Answer: D, E

The plan of care to decrease the child's risk of SIDS should include habits to lower the risk of SIDS, one of which is smoking cessation. The nurse should also instruct the mother to use bedding that is firm. The method of feeding is not associated with the syndrome; however, the risk is decreased with breastfeeding not bottle feeding. While age-approprorate immunizations are important for the overall health of the baby, this intervention does not specifically reduce the risk for SIDS. Sleeping with others will increase the child's risk of the syndrome and should not be in the plan of care.