SIDS Chapter 15
An unlicensed assistive personnel (UAP) is providing care for a 1-month-old infant. Which observation by the nurse of the UAP requires immediate follow-up? A. Placing a stuffed animal in the crib B. Placing the infant in supine position C. Swaddling the infant D. Offering a pacifier
A
The nurse is teaching a pregnant client about the prevention of sudden infant death syndrome (SIDS). Which information should the nurse include? (Select all that apply.) A. "It is best to co-sleep with your baby." B. "Do not tuck loose blankets under your baby's shoulders during sleep." C. "Breastfeed your baby if possible." D. "Share a room with your baby for the first 6 months." E. "Place your baby on its back to sleep."
C,D,E
A mother called 911 after finding her 2-month-old son unresponsive. The infant was brought to the emergency department and pronounced dead with the preliminary findings of sudden infant death syndrome (SIDS). Which type of questions should the nurse ask the parents? A. Investigative questions B. Insurance coverage questions C. Personal questions D. Health history questions about the father
A
The nurse is involved in investigating the death of an infant in which sudden infant death syndrome (SIDS) is suspected. The nurse should expect the focus of the investigation to be on which factor? A. Parental behavior B. Cause of the infant's death C. Who is to blame for the infant's death D. The infant's family
B
When communicating with the grieving family of an infant who has just died from sudden infant death syndrome (SIDS), which information should the nurse include? A. Stressing that the death isn't the parents' fault B. Reminding the parents that they are still young and can have more children C. Instructing the parents to place future infants on their backs to sleep D. Stressing that nothing can be done to confirm the diagnosis
A
The nurse is caring for parents who are grieving over the death of their infant who is suspected to have died of sudden infant death syndrome (SIDS). Which response by the nurse is therapeutic? (Select all that apply.) A. "I will provide you with a list of local grief counselors." B. "I am sorry you are going through this. Would you like to talk to me about your child?" C. "The infant loss support group meets every Tuesday." D. "Is there a pastor or clergy member you would like me to call?" E. "Which funeral home would you like me to contact?"
A,B,C,D
The nurse is giving discharge instructions to new parents. Which instruction should be provided to promote prevention of sudden infant death syndrome (SIDS)? (Select all that apply.) A. Provide support for smoking cessation. B. Collaborate with family to create goals. C. Teach about reducing risk factors for SIDS. D. Promote a safe sleep environment. E. Encourage the use of formula.
A,B,C,D
The nurse is performing a health history for assessment for sudden infant death syndrome (SIDS). The nurse should focus on which area? (Select all that apply.) A. Breathing patterns B. Sleep patterns C. Exposure to smoke D. Family history of SIDS E. Maternal history of miscarriage
A,B,C,D
The nurse is teaching a pregnant client regarding the risk factors related to sudden infant death syndrome (SIDS). Which statement by the nurse is appropriate? (Select all that apply.) A. "If your child is born premature, the risk for SIDS increases." B. "If your family has a history of SIDS, the risk for SIDS increases." C. "If your child shares your bed during sleep, the risk for SIDS increases." D. "If your child is exposed to smoke in the home, the risk for SIDS increases." E. "If your child is a girl, the risk for SIDS increases."
A,B,C,D
Which factor should the nurse recognize as contributing to the prevention of sudden infant death syndrome (SIDS)? (Select all that apply.) A. Effectiveness of interventions B. Education of professionals C. Appropriate coping mechanisms of grief D. Traditions and cultures E. Statistics
A,B,D
The nurse is caring for parents whose infant has died from sudden infant death syndrome (SIDS). When planning care, which outcome is appropriate for the nurse to establish? (Select all that apply.) A. The parents will seek therapy for psychosocial wellness. B. The parents will demonstrate acceptable grief. C. The parents will demonstrate effective coping. D. The parents will acknowledge the grieving process. E. The parents will seek clarity on the exact cause of death.
A,C,D
The nurse is presenting on prevention of sudden infant death syndrome (SIDS). Which protective behavior should the nurse include? (Select all that apply.) A. Use of sleeper pajamas B. Prone positioning C. Neutral ambient room temperature D. Breastfeeding E. Use of pacifier while sleeping
A,C,D,E
The nurse is caring for parents whose infant has died from sudden infant death syndrome (SIDS). Which nursing intervention is appropriate for the nurse to implement? (Select all that apply.) A. Calling the parents' church leader after a request from the parents B. Offering to contact the parents' other children to discuss the infant's death C. Calling the police to begin the death investigation D. Calling the hospital chaplain and requesting her presence immediately E. Offering to contact a grief counselor to help the parents
A,E
The nurse is caring for a couple whose infant has died of suspected sudden infant death syndrome (SIDS). When asking the couple about the circumstances surrounding the infant's death, which factor should the nurse focus on? (Select all that apply.) A. History of infant reflux B. Infant's dietary intake C. Health of the infant D. History of the infant's congenital heart defects E. Health of the parents
B,C,D
The prenatal nurse is giving an informational presentation to expectant parents and includes the topic of sudden infant death syndrome (SIDS). Which information should the nurse include? (Select all that apply.) A. It can occur in high-birth-weight infants. B. It can occur with co-sleeping infants. C. It is unpredictable. D. It is unexpected. E. Exposure to smoke is not a factor.
B,C,D
An 8-week-old infant who is not breathing is brought to the emergency department and pronounced dead on arrival. A preliminary finding of sudden infant death syndrome (SIDS) is made. Which nursing intervention with the parents should be the priority? A. Collecting the infant's belongings B. Allowing them to see the infant C. Explaining SIDS D. Calling their priest
C
The mother of a 2-month-old infant breastfeeds and thinks that it is easier to have her infant sleep with her. Which factor places the infant at an increased risk for sudden infant death syndrome (SIDS)? A. Increased bonding B. Lack of sleep C. Infant suffocation D. Improper breastfeeding
C
The nurse is giving discharge instructions regarding positioning for the client's newborn for sleeping. Which statement should the nurse include? A. "Always place your child in a fetal position while sleeping." B. "Always place your child on its tummy while sleeping." C. "Always place your child a side-lying position while sleeping." D. "Always place your child on its back position while sleeping."
D
Sudden infant death syndrome (SIDS) is called a syndrome because it does not identify any disease as a cause of death. Which factors can lead to the sudden death of an infant? A. Abnormality of vital signs, vulnerability to stimulus, and critical developmental period of 10 to 12 months of life B. Abnormality to milk intake, vulnerability to stimulus, and developmental age after the age of 1 C. Abnormality of vital signs, vulnerability to stimulus, and developmental age of 1 year old D. Abnormality to autonomic responses, stressors, and critical developmental period of 1 to 6 months of life
D
The nurse includes information in a presentation that sudden infant death syndrome (SIDS) remains unexplained after other possible causes have been ruled out. The nurse understands that which procedure is used to rule out the possible causes of SIDS? A. Chest x-ray B. Genetic mapping C. Lab analysis D. Autopsy
D