SIDS

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. Health of the parents B. Infant's dietary intake C. History of the​ infant's congenital heart defects D. History of infant reflux E. Health of the infant

B, C, E ​ Rationale: Interviews of the family should focus on determining the circumstances surrounding the​ infant's death. Questions should center on the health of the​ infant, dietary​ intake, and history of congenital birth defects. The health of the parents and history of infant reflux do not help to determine the circumstances surrounding the​ infant's death, as these factors have not been linked to causing​ SIDS-related deaths.

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. Instructing the parents to place future infants on their backs to sleep B. Stressing that the death​ isn't the​ parents' fault C. Stressing that nothing can be done to confirm the diagnosis D. Reminding the parents that they are still young and can have more children

B. Stressing that the death​ isn't the​ parents' fault ​Rationale: It is important for the nurse to stress that death from SIDS​ isn't predictable or preventable and that it​ isn't the​ parents' fault. Reassure the parents that they are not responsible for the​ infant's death. For families with multiple​ children, it may also be necessary to reassure older children that they are not in danger of SIDS. Instructing the parents about future children is not therapeutic at this time.

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. Calling their priest D. Explaining SIDS

D. Explaining SIDS Rationale: The priority intervention would be to provide the parents with an explanation of SIDS.​ After, the parents need time with their infant to assist with the grieving process. Calling their priest and collecting the​ infant's belongings are also important steps in the plan of care but are not the priority.

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 police to begin the death investigation B. Calling the​ parents' church leader after a request from the parents C. Offering to contact a grief counselor to help the parents D. Offering to contact the​ parents' other children to discuss the​ infant's death E. Calling the hospital chaplain and requesting her presence immediately

B & C​ Rationale: The nurse who is implementing appropriate nursing interventions for a grieving couple may offer to contact a grief counselor to help the parents.​ Also, the nurse may call the​ parents' church leader after a request from the parents. Calling and requesting the immediate presence of the hospital chaplain is not culturally​ sensitive, because not all grieving clients would like this. The nurse is not responsible for calling the police to begin the death investigation following an​ infant's death from SIDS. The nurse should not contact the grieving​ parents' other children to discuss the​ infant's death.

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. Lack of sleep B. Increased bonding C. Improper breastfeeding D. Infant suffocation

D. Infant suffocation ​Rationale: Concerns have been raised about the association of bed​ sharing, SIDS, and infant suffocation. Lack of​ sleep, increased​ bonding, and being unable to properly breastfeed are not among the risk factors associated with SIDS while sharing a bed with an infant.

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. Swaddling the infant C. Offering a pacifier D. Placing the infant in supine position

​A. Placing a stuffed animal in the crib Rationale: The American Academy of Pediatrics recommends that no soft objects be placed in the​ infant's sleep area. This includes​ pillows, soft​ toys, quilts,​ comforters, sheepskins, crib​ bumpers, or loose bedding such as blankets. A pacifier​ may, or should be offered at bedtime or​ naps, but there is no need to replace it if it falls out. An infant can be swaddled at this age. Infants should always be placed on their backs for sleeping until 1 year of age

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. The​ infant's family C. Who is to blame for the​ infant's death D. Cause of the​ infant's death

​D. Cause of the​ infant's death Rationale: The focus of the investigation involves determining the cause of infant death. The investigation does not focus on parental behavior or blame for the​ infant's death. The investigation does involve the​ infant's family.

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. ​"The infant loss support group meets every​ Tuesday." B. "I am sorry you are going through this. Would you like to talk to me about your​ child?" C. ​"I will provide you with a list of local grief​ counselors." 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 Rationale: The nurse who is supporting the​ couple's psychosocial needs and providing the couple with collaborative therapy resources will assist the family in contacting the​ family's pastor or clergy​ member, provide the family with resources on grief counselors and support​ groups, and provide empathy toward the​ infant's family. Asking the family about funeral homes is not​ supportive, and the family may not be ready to discuss this.

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 family has a history of​ SIDS, the risk for SIDS​ increases." B. "If your child is exposed to smoke in the​ home, the risk for SIDS​ increases." C. "If your child is born​ premature, the risk for SIDS​ increases." D. ​"If your child shares your bed during​ sleep, the risk for SIDS​ increases." E. ​"If your child is a​ girl, the risk for SIDS​ increases."

A, B, C, D ​Rationale: Factors that increase the risk of SIDS include infant​ prematurity, infant exposure to​ smoke, co-sleeping, and a family history of SIDS. The incidence of​ SIDS-related deaths is greater among boys than among girls.

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. Sleep patterns B. Family history of SIDS C. Breathing patterns D. Maternal history of miscarriage E. Exposure to smoke

A, B, C, E Rationale: Nursing assessment for health history should include family history of​ SIDS, breathing​ patterns, sleep​ patterns, and exposure to smoke. Maternal history of miscarriage is not identified as a causative factor in the development of SIDS.

The nurse is presenting on prevention of sudden infant death syndrome​ (SIDS). Which protective behavior should the nurse​ include? (Select all that​ apply.) A. Neutral ambient room temperature B. Breastfeeding C. Prone positioning D. Use of pacifier while sleeping E. Use of sleeper pajamas

A, B, D, E ​Rationale: Protective behaviors for SIDS include​ supine, not​ prone, positioning. Use of a pacifier while​ sleeping, use of sleeper​ pajamas, breastfeeding, and neutral ambient temperature are all protective behavior for SIDS.

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 is unexpected. B. It can occur with​ co-sleeping infants. C. Exposure to smoke is not a factor. D. It can occur in​ high-birth-weight infants. E. It is unpredictable.

A, B, E ​Rationale: Sudden infant death syndrome​ (SIDS) is the sudden death of an apparently healthy infant that remains unexplained. At​ present, SIDS is​ unpredictable, and it is impossible to prevent in some cases. Exposure to smoke is a great risk​ factor, and​ co-sleeping with infants does pose a​ risk, but sharing a room with parents does not. SIDS is a risk factor for infants who are preterm and with low birth weight and not necessarily for​ high-birth-weight infants.

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 of vital​ signs, vulnerability to​ stimulus, and developmental age of 1 year old C. Abnormality to autonomic​ responses, stressors, and critical developmental period of 1 to 6 months of life D. Abnormality to milk​ intake, vulnerability to​ stimulus, and developmental age after the age of 1

C. Abnormality to autonomic​ responses, stressors, and critical developmental period of 1 to 6 months of life ​ Rationale: Three factors that occur simultaneously may lead to SIDS.​ First, the infant must have​ vulnerability, an abnormality in the​ brainstem, which controls respiratory and autonomic responses to stressors during sleep.​ Second, significant stressors that contribute to SIDS must be​ present, such as​ side-lying or prone​ (face-down) sleeping, and bed sharing with smoking parents. When infants are in the prone or​ side-lying position, the brainstem abnormality compromises their protective​ reflexes, such as arousal and head​ turning, against asphyxia.​ Third, infants must be in a critical developmental period within the first 6 months of life.

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. Autopsy D. Lab analysis

C. Autopsy ​Rationale: Sudden infant death syndrome​ (SIDS) is the sudden death of an apparently healthy infant that remains unexplained after other possible causes have been ruled out through​ autopsy, death scene​ investigation, and review of the medical history. Lab​ analysis, chest​ x-ray, and genetic mapping are not used to rule out the possible causes of an infant death due to SIDS.

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. Insurance coverage questions B. Health history questions about the father C. Investigative questions D. Personal questions

C. Investigative questions ​Rationale: The nurse needs to ask investigative and​ open-ended questions to determine the cause and manner of the​ infant's death. Personal questions and insurance coverage questions are not the priority. Health history questions are asked about the infant and the pregnancy history of the mother but not about the father.

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 acknowledge the grieving process. B. The parents will demonstrate effective coping. C. The parents will demonstrate acceptable grief. D. The parents will seek clarity on the exact cause of death. E. The parents will seek therapy for psychosocial wellness.

A, B, E​ Rationale: Nursing outcomes or goals for the parents of a child who has died as a result of SIDS should focus on the​ parent's psychosocial wellness and demonstration of the​ parents' effective coping. A couple who seeks clarity on the exact cause of death is not necessarily displaying effective coping or psychosocial​ wellness, because the exact cause of the​ SIDS-related death is often not discovered. Acceptable grief is a subjective​ goal, as everyone grieves differently.

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. Teach about reducing risk factors for SIDS. B. Provide support for smoking cessation. C. Promote a safe sleep environment. D. Encourage the use of formula. E. Collaborate with family to create goals.

A, B, C, E ​Rationale: Actions that support the​ nurse's plan of care for the goal of preventing SIDS include providing support for smoking​ cessation, collaborating with family to create​ goals, teaching about reducing risk factors for​ SIDS, promoting a safe sleep​ environment, and encouraging breastfeeding.

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. "Place your baby on its back to​ sleep." B. ​"Breastfeed your baby if​ possible." C. "Do not tuck loose blankets under your​ baby's shoulders during​ sleep." D. ​"Share a room with your baby for the first 6​ months." E. "It is best to​ co-sleep with your​ baby."

A, B, D ​ Rationale: When implementing teaching for the prevention of​ SIDS, the nurse should include the importance of​ breastfeeding, sharing a room with the​ baby, and placing the infant on its back to sleep.​ Co-sleeping increases the risk of​ SIDS, as does having loose blankets in the​ crib, and therefore comprise inappropriate information by the nurse.

Which factor should the nurse recognize as contributing to the prevention of sudden infant death syndrome​ (SIDS)? (Select all that​ apply.) A. Traditions and cultures B. Statistics C. Education of professionals D. Effectiveness of interventions E. Appropriate coping mechanisms of grief

A, C, D ​Rationale: All members of the healthcare team must work together to promote safety for infants to reduce the occurrence of SIDS. It is also important to include the expectant and new parents as well as the caregivers for the infant. Health and prevention should be focused on the effectiveness of​ interventions, the education of​ professionals, and utilizing traditions and cultures. Focusing on statistics or on appropriate coping mechanisms of grief is not of utmost importance when trying to educate and prevent the occurrence of SIDS.

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 on its back position while​ sleeping." B. ​"Always place your child in a fetal position while​ sleeping." C. "Always place your child a​ side-lying position while​ sleeping." D. ​"Always place your child on its tummy while​ sleeping."

A. ​"Always place your child on its back position while​ sleeping."​ Rationale: Infants should always be placed on their​ back, or supine​ position, for sleeping until 1 year of age. Infants placed prone​ (face-down) while sleeping are at greatest risk for sudden infant death syndrome​ (SIDS). The​ side-lying, or​ fetal, position also increases the risk for SIDS.