At an 8-month-old well-baby visit, the parent tells the nurse ...

[asd123]

At an 8-month-old well-baby visit, the parent tells the nurse that her infant falls asleep at night during the last bottle feeding but wakes up when moved to the infant's crib. What is the most appropriate response for the nurse to make?
 
  a. You should put your baby to sleep 1 hour earlier without the nighttime feeding but with a pacifier for soothing.
  b. You could place rice cereal in the last bottle feeding of the day to ensure a longer sleep pattern.
  c. You should have your partner give the last bottle of the day and observe whether your infant stays awake for your partner.
  d. You could increase daytime feeding intervals to every 4 hours and put your baby in the crib while the baby is still awake.

Question 2

In teaching parents about appropriate pacifier selection, the nurse should recommend which characteristic?
 
  a. Easily grasped handle
  b. Detachable shield for cleaning
  c. Soft, pliable material
  d. Ribbon or string to secure to clothing

[Kjones0604]

Answer to Question 1

ANS: D
Increasing the daytime intervals to 4 hours and placing the baby in the crib while still awake are interventions for nighttime sleeping problems. Putting the baby to bed 1 hour earlier with a pacifier will not stop the need for the bedtime bottle; there is no research that rice cereal in the bottle helps to satisfy the baby longer at night, and switching partners does not guarantee that the baby will go to sleep better.

Answer to Question 2

ANS: A
A good pacifier should be easily grasped by the infant. One-piece construction is necessary to avoid having the nipple and guard separate, posing a risk for aspiration. The material should be sturdy and flexible. If the pacifier is too pliable, it may be aspirated. No ribbon or string should be attached. This poses additional risks.

[asd123]

Excellent

[tkempin]

TYSM