The recommendation for an infant's sleeping position is now "back to sleep." Which nursing intervention is needed to prevent flattening of the occipital bones?

1. Allow the infant to sleep on his abdomen while an adult is present and observing the infant during sleep.

2. Wrap the occipital portion of the infant's head with an ace bandage for 20 minutes each day.

3. Alternate the head position from left to right during sleep.

4. Place an infant hat on the head of the infant during sleep for the first three months of life.


3

Rationale:

1. The infant should not be allowed to sleep on his abdomen even when observed.
2. It is not necessary to wrap the infant's occipital portion of the infant's head.
3. Changing the position of the infant's head while sleeping, especially during the first three months of life, will help alleviate the flattening of the occipital bone due to supine positioning during sleep.
4. An infant hat will not keep the occipital bones from flattening.

Nursing

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