The parents of a 3-month-old infant report that their infant sleeps supine (face up) but is often prone (face down) while awake. The nurse's response should be based on knowledge that this is:
a. unacceptable because of the risk of sudden infant death syndrome (SIDS).
b. unacceptable because it does not encourage achievement of developmental milestones.
c. acceptable to encourage fine motor development.
d. acceptable to encourage head control and turning over.
ANS: D
These parents are implementing the guidelines to reduce the risk of SIDS. Infants should sleep on their backs and then be placed on their abdomens when awake to enhance development of milestones such as head control. The face-down position while awake and on the back for sleep are acceptable because they reduce risk of SIDS and allow achievement of developmental milestones. These position changes encourage gross motor, not fine motor, development.
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