Which nursing actions are appropriate for the 2-month-old infant ...

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Which nursing actions are appropriate for the 2-month-old infant during a scheduled health maintenance visit? Select all that apply.
 
  1. Reviewing infant fluid needs with the parents
  2. Reinforcing the importance of heating bottles with water versus the microwave
  3. Demonstrating proper gum care to the parents
  4. Educating the parents to begin introducing solid foods, such as rice cereal
  5. Recommending that juice be introduced in a sippy cup

Question 2

The nurse is assessing a small-for-gestational-age newborn who had an older sibling who died of sudden infant death syndrome (SIDS). Which should the nurse include in the newborns plan of care based on these data?
 
  1. Encourage the parents to sleep with the newborn for close observation.
  2. Encourage the parents to place the newborn on the abdomen to sleep.
  3. Encourage the parents to place the newborn in a crib with a tight-fitting, firm mattress.
  4. Encourage the parents to place the newborn in a crib with a soft mattress with extra blankets.

[BAOCHAU2803]

Answer to Question 1

1, 2, 3
Explanation:
1. It is appropriate for the nurse to review infant fluid needs with the parents during the 2-month health maintenance visit.
2. It is appropriate for the nurse to reinforce the importance of heating bottles with water versus the microwave with the parents during the 2-month health maintenance visit.
3. It is appropriate for the nurse to demonstrate proper gum care to the parents during the 2-month health maintenance visit.
4. The nurse would not educate the parents to begin introducing solid foods during the 2-month visit. Solid foods are not introduced until 6 months of age.
5. While juice should only be offered in a sippy cup, the nurse would not recommend this during the 2-month health maintenance visit. This subject is appropriate during the 6-month health maintenance visit.

Answer to Question 2

3
Explanation:
1. Cobedding is not encouraged because it is associated with an increased risk for SIDS.
2. A prone sleeping position is not encouraged because it is associated with an increased risk for SIDS.
3. Placing the infant in a crib with a tight-fitting, firm mattress will help keep the infant's mouth free of obstructions. This is the recommended sleeping position and environment for all newborns but is especially important due to the history of SIDS.
4. Quilts, blankets, and other soft items are not recommended as these increase the risk for SIDS. Put the newborn in a blanket sleeper instead.