The parents of an infant with gastroesophageal reflux (GER) ask the nurse about the advisability of the side-lying or supine position for prevention of sudden infant death syndrome (SIDS) for their infant. The nurse's best response would be:
a. "Yes, prevention of SIDS is extremely important and the side-lying or supine position is currently recommended."
b. "Currently the prone or head-elevated prone position is recommended for GER, and with the elimination of puffy bedding from the crib you can decrease chances of SIDS."
c. "The side-lying or supine position will work just fine as long as you elevate the head of the bed so that the infant is sleeping nearly sitting up."
d. "SIDS is something you cannot really protect against for certain, so get some baby monitors and let your baby seek whatever position is most comfortable."
B
Feedback
A Incorrect. The nurse's best response would not be "Yes, prevention of SIDS is extremely important and the side-lying or supine position is currently recommended."
B Correct. The nurse's best response would be "Currently the prone or head-elevated prone position is recommended for GER, and with the elimination of puffy bedding from the crib you can decrease chances of SIDS." The American Academy of Pediatrics recommends that infants be placed supine or side-lying for sleep to minimize the risk for SIDS. However, infants with GER are exempt.
C Incorrect. The nurse's best response would not be "The side-lying or supine position will work just fine as long as you elevate the head of the bed so that the infant is sleeping nearly sitting up."
D Incorrect. The nurse's best response would not be "SIDS is something you cannot really protect against for certain, so get some baby monitors and let your baby seek whatever position is most comfortable."
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