The nurse is assessing a small-for-gestational-age newborn who had an older sibling who died of sudden infant death syndrome. Knowing this, the nurse must include which in the plan of care for the newborn?
1. Encourage the parents to place the infant on his abdomen to sleep.
2. Encourage the parents to place the infant in a crib with a tight-fitting, firm mattress.
3. Encourage the parents to place the infant in a crib with a soft mattress with extra blankets.
4. Encourage the parents to sleep with the infant for close observation.
2
Rationale:
1. Research has shown that supine is the safest sleeping position for infants. "Back to Sleep" and "Face Up to Wake Up" campaigns are designed to educate the public that infants should be placed on their backs for sleeping
2. Placing the infant in a crib with a tight-fitting, firm mattress will help keep the infant's mouth free of obstructions.
3. Quilts, blankets, and other soft items should not be used in baby beds. Put the infant in a blanket sleeper instead.
4. Placing the infant in a crib with a tight-fitting, firm mattress will help keep the infant's mouth free of obstructions.
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