NUR379 Evolve: Health Promotion and Safety - Health Promotion for Infants

The parents of a six-month-old infant report excessive drooling, fussiness, and loss of appetite. Which practices should the nurse recommend that may relieve these symptoms?

-Teething ring. -Frozen bagels. -Clean wet washcloth.

A patient who is pregnant asks the nurse how to prevent sudden infant death syndrome (SIDS) when the baby is born. Which recommendations should the nurse provide to the patient?

-"Place your baby on the back to sleep." -"Have your baby sleep in the crib only." -"Do not expose your baby to second-hand smoke." -"Avoid smoking and alcohol during your pregnancy."

The mother of an infant asks the nurse for suggestions about ways to calm her infant's crying. Which response(s) by the nurse are appropriate?

-"Crying may cause increased gas causing pain." -"You can try swaddling. This can be very calming." -"Using a baby swing can comfort an irritable infant."

The nurse is teaching first time parents about techniques to soothe infant irritability. Which suggestions should the nurse include?

-Taking the baby for a car ride. -Swinging the baby in an infant swing. -Carrying the infant in a front pack close to the parent's chest.

The nurse is teaching the parents of an infant about motor vehicle safety recommendations in order to protect their child in the event of a car crash. Which statements would indicate to the nurse that the teaching has been effective?

-"The infant car seat should have a three or five-point harness." -"The infant car seat should be placed in the middle of the back seat." -"Ideally, we should make sure our car seat and the car itself use the LATCH system."

A mother of a male baby reported smoking occasionally while pregnant. She reports allowing the baby to sleep in the bed with her, on a firm mattress without any covers. Which factors put this baby at risk for SIDS?

-Being a male baby. -Smoking occasionally in the house. -Allowing the baby to sleep in the bed.

The public health nurse is teaching community nurses about factors affecting the health of infants. Which factors that may affect infant risk for dental caries should the nurse include in the lesson?

-Coming from a low family income. -Using bottled water to mix formula. -Drinking after a mother with cavities. -Offering soda in a sippy cup to the baby.

A father asks the nurse for advice on caring for the teeth of his five-month-old infant who just cut the first two. Which recommendations should the nurse make?

-Gently brush the teeth with a wet cloth. -Do not put your baby to bed with a bottle.

The parents of an 11-month-old infant are inquiring as to the foods they should avoid feeding their infant. The nurse should instruct the parent to avoid which foods?

-Honey. -Whole grapes.

The nurse is creating safety brochures about the prevention of poisoning for different population groups. The nurse identifies which recommendations to include for parents and caregivers of infants?

-Lock all medication cabinets. -Place all houseplants out of reach. -Evaluate your home for lead sources.

The mother of a one-month-old infant asks the nurse for advice on establishing safe and consistent sleep practices. What recommendations does the nurse provide?

-Place the baby to sleep on the back. -Give the baby a warm bath before bed. -Put the baby to sleep at the same time every night. -Put the baby to sleep when the baby is drowsy, but awake.

Match the crib feature with the relevant safety recommendation.

-Slats: Must be <2 3/8 (6 cm) apart. -Surface: No lead based paint. -Drop side: Child proof. -Decoration: Not recommended.

The mother of an infant reports that her husband smokes but only smokes outside. She also states that the infant sleeps in a co-sleeper, with a light blanket and a stuffed bear. The nurse identifies which risk factor(s) for SIDS as high priority?

-Stuffed animals. -Baby sleeping prone.

Match the infant age with the most appropriate developmental action.

-Takes one or two naps: 12 months old. -Can begin to self-soothe: Four months old. -Sleeps 16 hours per day: Newborn. -Consistently sleeps all night: Six months.

A new parent reports that the infant cries incessantly in the evenings, often pulling the arms and legs into the body. The nurse understands that this may be due to which infant condition?

Colic.

The father of an eight-month-old reports that the infant cries and clings to its mother when new friends or unfamiliar relatives visit the home. The nurse explains that this reaction is most likely caused by which?

Stranger anxiety.

The nurse is teaching the mother of a newborn about the prevention of infant asphyxiation. Which priority strategy does the nurse recommend the parents implement even before the infant is mobile?

Remove crib decorations and fluffy bedding.

An infant is in the clinic for a six-month well visit. Height and weight are in the 50th percentile. The infant can sit and shows an interest in food. Which foods should the nurse recommend the parents introduce at this stage?

Rice cereal mixed with breast milk or formula.

An eight-week-old infant is exclusively formula fed, and take approximately four oz, six times per day. Which nutritional recommendation should the nurse recommend to the infant's parents?

Start vitamin D supplements.

The nurse would expect to observe which behaviors in an infant with an insecure parental attachment?

The infant is more easily comforted by a babysitter than the parent.

The nurse is providing safety teaching in an infant care class for pregnant first-time mothers and their partners. Which safety recommendation is the priority to include?

Use a rear-facing infant car seat.

The mother of a six-month-old infant states that she puts the baby to bed in a crib under a single blanket on a firm mattress and offers a pacifier. She indicates that the baby often rolls over to prone position once asleep. What should the nurse identify as the unsafe sleeping practice for this infant?

Use of a blanket in the crib.

A new mother reports that the baby is sleeping next to her own bed in a bassinet with a small pillow. She reports laying the baby on the back to sleep and says she has banned cigarette smoking in the house. The nurse identifies which practice as putting the baby at risk for SIDS?

Using a small pillow in the bassinet.

The nurse is teaching new parents about motor vehicle safety recommendations for their new baby. Place the safety recommendations in chronological order, starting with those necessary for a newborn.

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