Author Question: What should the nurse suggest to the parents of an infant who has a prolonged need for ... (Read 64 times)

Awilson837 · **on:** Jun 28, 2018

What should the nurse suggest to the parents of an infant who has a prolonged need for middle-of-the-night feedings?

a. Decrease daytime feedings.
b. Allow child to go to sleep with a bottle.
c. Offer last feeding as late as possible at night.
d. Put infant to bed after asleep from rocking.

Question 2

To prevent plagiocephaly, the nurse should teach parents to:

a. place infant prone for 30 to 60 minutes per day.
b. buy a soft mattress.
c. allow infant to nap in the car safety seat.
d. have infant sleep with the parents.

dlook33 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
To manage an infant who has a prolonged need for middle-of-the-night feedings parents should be taught to offer last feeding as late as possible at night. Parent should increase daytime feeding intervals to 4 hours or more (may need to be done gradually), offer no bottles in bed, put to bed awake and when child is crying, check at progressively longer intervals each night; reassure child but do not hold, rock, take to parent's bed, or give bottle or pacifier.

Answer to Question 2

ANS: A
Prevention of positional plagiocephaly may begin shortly after birth by implementing prone positioning or tummy time for approximately 30 to 60 minutes per day when the infant is awake. Soft mattresses or sleeping with parents (co-sleeping) are not recommended because they put the infant at a higher risk for a sudden infant death incident. To prevent plagiocephaly, prolonged placement in car safety seats should be avoided.