A mother who has three older children now has a newborn. She complains to the physician that sleeping on his back has caused her baby to have "a funny-shaped head" that the other kids didn't have
She doesn't want to continue having the baby sleep on his back. Which action by the nurse is best?
A.
Document the comments and alert the physician to the concern.
B.
Encourage her to put the baby on his stomach during the day.
C.
Explain that babies need to sleep on their sides at all times.
D.
Tell her that back-sleeping isn't important after 5 months of age.
ANS: B
The American Academy of Pediatrics recommends that all infants be placed on their backs when sleeping. This is probably new information the mother did not have for her older children. If the mother is concerned about plagiocephaly (misshapen head), she can be taught to place the baby on the stomach with a small rolled towel under the arms for support and comfort. Alternating positions in the crib and side-lying for short periods in the presence of an adult are also alternatives. Documentation should always occur, but is not the most important action. Telling the mother that babies need to sleep on their sides at all times is incorrect. Sleeping on the back is important for all infants.
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