The nurse is instructing new parents on ways to decrease the risk ...

[theo]

The nurse is instructing new parents on ways to decrease the risk of sudden infant death syndrome (SIDS) with their newborn son. What should be included in these instructions?
 
  Select all that apply.
  A) There is nothing that can be done, so requirements for toys and bedding are of no consequence.
  B) Instruct that it is more common in babies from ages 6 months to 18 months.
  C) Avoid placing the baby in the prone or side-lying position for sleep.
  D) Remind the parents that the syndrome is more common in females than males, and that they have a male child.
  E) Do not smoke near the child and reduce all exposure to secondhand smoke.

Question 2

The pediatric nurse is providing education to a new mother regarding ways to decrease the risk of sudden infant death syndrome (SIDS). Which statement by the nurse is appropriate?
 
  A) You should the baby with you at all times to assess for apnea.
  B) There is no one cause for the syndrome; the best thing is to keep the baby healthy.
  C) It is recommended that you place your baby in a face-down position for sleep.
  D) SIDS has been linked to immunizations. I recommend that you avoid immunizing your baby.

[matt]

Answer to Question 1

Answer: C, E

The nurse should instruct the parents to not smoke and to reduce all exposure to secondhand smoke to reduce the child's risk of SIDS. Sleeping in the prone or side-lying position is a risk factor for the syndrome. Other risk factors for SIDS include being male, being 2-4 months of age, having loose bedding and toys that could occlude the airway, and being exposed to smoke or having a mother who smoked during pregnancy.

Answer to Question 2

Answer: B

The best intervention would be for the nurse to explain that there is no single cause for the syndrome and to instruct the mother to keep the baby healthy. According to one theory for the syndrome, a face-down position could encourage a reduction in respirations and increase the risk for SIDS. The nurse should instruct the mother to position the baby face-up for sleep. Immunizations and newborn apnea have not been found to be associated with the syndrome.