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?

Question

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.

Answer 1

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.