The homecare nurse is examining a newborn who is sleeping in a basket on a pillow, covered with a fluffy blanket. There is also a stuffed animal in the basket. The most important nursing action is to:
1. Remove the stuffed animal from the basket and place it on the floor.
2. Teach the parents the risk of SIDS from soft items in the infant's bed.
3. Make certain that the blanket is firmly tucked under the baby.
4. Ask whether the color of the blanket has cultural significance.
2
Rationale 1: The fluffy blanket, pillow, and stuffed animal increase the risk of SIDS. The parents should be taught that these items are safety hazards.
Rationale 2: This is the highest priority.
Rationale 3: A fluffy blanket should not be used. The parents need education on the hazards of items such as loose blankets and stuffed toys in the baby's crib or bassinet.
Rationale 4: Cultural significance is important, but the newborn's physical safety is a higher priority.
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