Author Question: The nurse is discussing child care strategies with a mother of a newborn. The mother asks the nurse, ... (Read 107 times)

jparksx · **on:** Jul 23, 2018

The nurse is discussing child care strategies with a mother of a newborn. The mother asks the nurse, What causes sudden infant death syndrome (SIDS)?

Which of the following responses is most likely to answer the mother's question therapeutically?
1. SIDS is a common fear for new mothers. The best advice is to put your baby to sleep on her back.
2. We aren't sure exactly, but it may have something to do with undetected cardiac or oxygen problems.
3. Research is inconclusive, but it's thought to be a result of a nervous system problem that occurs when the baby is asleep.
4. Your pediatrician wants you to put your baby to sleep on her back because re-search has shown that more stomach sleepers are victims.

Question 2

A client hospitalized for a myocardial infarction in a cardiac critical care unit (CCU) is most like-ly to experience sleep deprivation as a result of:

1. A drug-disrupted circadian sleep pattern
2. Generally diminished cardiac output
3. Unfamiliar environmental stimuli
4. Increased emotional stressors

wilsonbho · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 3
Some have hypothesized that sudden infant death syndrome (SIDS) is caused by abnormalities in the autonomic nervous system that are manifested during sleep, resulting in apnea, hypoxia, and/or cardiac dysrhythmias. This answer provides the most thorough answer to the mother's question, whereas the remaining options stress preventive measures.

Answer to Question 2

ANS: 3
Hospitalization, especially in intensive care units, makes clients particularly vulnerable to the ex-trinsic and circadian sleep disorders that cause the ICU syndrome of sleep deprivation. Con-stant environmental stimuli within the intensive care unit (ICU), such as strange noises from equipment, the frequent monitoring and care given by nurses, and ever-present lights, confuse clients and lead to sleep deprivation. Although the other options may be contributing factors, they are not as directly responsible.