The nurse is providing anticipatory guidance to the parents of a 1-month-old infant on preventing a suffocation injury. Which should the nurse include in the teaching? (Select all that apply.)
a. Do not place pillows in the infant's crib.
b. Crib slats should be 4 inches or less apart.
c. Keep all plastic bags stored out of the infant's reach.
d. Plastic over the mattress is acceptable if it is covered with a sheet.
e. A pacifier should not be tied on a string around the infant's neck.
ANS: A, C, E
Anticipatory guidance for a 1-month-old infant to prevent a suffocation injury takes into account that the infant will have increased eye–hand coordination and a voluntary grasp reflex as well as a crawling reflex that may propel the infant forward or backward. Pillows should not be placed in the infant's crib, plastic bags should be kept out of reach, and a pacifier should not be tied on a string around the neck. Crib slats should be 2.4 inches apart (4 inches is too wide), and the mattress should not be covered with plastic even if a sheet is used to cover it.
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