The leading cause of death among infants between the ages of 1 and 12 months Show c. Sudden infant death syndrome (SIDS) The sudden death of an apparently health infant that remains unexplained after other possible causes have been ruled out through autopsy, death scene investigation, and review of the medical history. It is unpredictable and is impossible to prevent in some cases. a. Accidental suffocation and strangulation in bed (ASSB) c. Sudden infant death syndrome (SIDS) "Crib death" is another word for Sudden infant death syndrome (SIDS) Which of the following factors must be present and occur simultaneously to lead to SIDS? [SATA] a. Baby must be in a crib b, c, e SIDS is most common in which of the following races? a. Whites d. American Indians and Alaska Natives SIDS is more common in a. Boys Are preterm babies at low birth weights at an increased or decreased risk of developing SIDS? Increased Infants should always be placed in a _______________ position when sleeping to reduce the risk of SIDS a. Prone b. Supine A mother who has a history of smoking has arrived for her 2 week postpartum checkup. She describes to the nurse that she understands that she should not smoke around her infant because that would place the baby at an increased risk of SIDS. Because of this, she smokes outside and then comes back in. The nurse's most appropriate intervention is: a. Provide positive reinforcement to the mother since she is practicing safe behaviors in reducing SIDS risk for her child b. Review the risk factors for SIDS with the mother, specifically how smoking can increase the risk of SIDS Smoking outside, away from babies, does not decrease the risk of SIDS because smoky hair and clothes also affect babies' respiratory statuses. In an effort to educate parents and caregivers about strategies for decreasing infants' risk for SIDS, the ________________________ campaign was launched in 1994 a. Smoking Cessation Station c. Back to Sleep TRUE/FALSE: Bottle feeding is associated with a reduced risk of SIDS False, breastfeeding is associated with a reduced risk of SIDS TRUE/FALSE: It is recommended that infants sleep in the same room as their parents, but not in the bed True When educating clients on how to dress their infants, the nurse should provide what easy rule of thumb to remember? Dress your baby like you dress yourself TRUE/FALSE: There are no warning signs or early clinical manifestations to indicate that a baby will die of SIDS. Cardiopulmonary arrest is the first and only symptom. True Which of the following risk factors is related to sudden infant death syndrome (SIDS)? a) Feeding habits d) Low birth weight Rationale: (D) Prematurity, low birth weight, and multiple births are important risk factors associated with SIDS. Immunizations have been disapproved to be associated with the disorder. Feeding habits and gestational age of 42 weeks aren't significant. An infant is brought to the emergency department (ED) and pronounced dead with the preliminary finding of sudden infant death syndrome (SIDS). Which question to the parents is appropriate? a) Did you hear the infant cry out? d) How did the infant look when you found him? Rationale: (D) Only factual questions should be asked during the initial history in the emergency department. The other questions imply blame, guilt, or neglect. Sudden infant death syndrome (SIDS) is confirmed by which of the following procedures? a) Autopsy a) Autopsy Rationale: (A) Autopsies reveal consistent pathological findings, such as pulmonary edema and intrathoracic hemorrhages that confirm the diagnosis of SIDS. Chest X-rays are used to diagnose respiratory complications. Skeletal surveys are used with cases of suspected child abuse. Laboratory analysis will show no characteristics to confirm the diagnosis of SIDS. Which of the following definitions best describe the etiology of sudden infant death syndrome (SIDS)? a) Cardiac arrhythmias c) Unexplained death of an infant Rationale: (C) SIDS can best be defined as the sudden death of an infant under age 1 that remains unexplained after autopsy. Apnea of prematurity occurs in infants less then 32 weeks' gestation who have periodic breathing lapses for 20 seconds or more. Apparent life-threatening events usually have some combination of apnea, color change, marked in muscle tone, choking, or gagging. A 6-week-old infant is brought to the emergency department no breathing. A preliminary finding of sudden infant death syndrome (SIDS) is made to the parents. Which of the following interventions should the nurse take initially? a) Call their spiritual advisor c) Allow them to see their infant Rationale: (C) The parents need time with their infant to assist with the grieving process. Calling their pastor and collection the infant's belongings are also important steps in the plan of care but aren't priorities. The parents will be too upset to understand an explanation of SIDS at this time. The nurse is teaching a family with a newborn about infant safety during sleep. What information is the most important for the family to understand? a) The infant should be placed on his back to sleep a) The infant should be placed on his back to sleep Rationale: (A) Research has demonstrated that placing an infant on hi back to sleep reduces the incidence of sudden infant death syndrome (SIDS). To decrease the risk of suffocation, pillows, stuffed animals, and loose blankets should be placed in the crib with the infant. When communication with the grieving family after a death from sudden infant death syndrome (SIDS), the nurse should: a) Instruct the
parents to place other infants on their backs to sleep b) Stress that the death isn't the parent's fault Rationale: (B) It's important for the nurse to stress that death from SIDS isn't predictable or preventable and that it isn't the parents' fault. Although it's important to inform the parents that an autopsy is necessary, that's secondary. Instructing the parents to place other infants on their backs to sleep implies that the parents did something wrong to cause the infant's death. Stressing that the parents are still young and can have other children minimizes their grief. Which of the following client histories is most consistent with the diagnosis of sudden infant death syndrome (SIDS)? a) The
child was physically abused in the past c) The infant was healthy and was found shortly after being put down to sleep Rationale: (C) Children who are diagnosed with SIDS are typically described as healthy with no previous medical problems. They are usually found dead sometime after being put down to sleep. Depending on how long the infant has been dead, the infant may have a mottled complexion with extreme cyanosis of the lips, fingertips, or pooling of blood in the legs and feet that may be mistaken for bruising. The nurse working on the postpartum unit selects which of the following as a priority nursing diagnosis for a mother whose first child died of sudden infant death syndrome (SIDS)? a. Risk for Complicated Grieving b. Anxiety The mother who has lost a child will likely be very anxious about the new baby. The nurse provides supportive care and instruction for prevention of SIDS. There is no evidence here that this client is at risk for complicated grieving, is experiencing complicated grieving, or is an impaired parent. A family brings their newborn to the emergency department with no heart rate or respirations and frothy bloody secretions in the nares and mouth. The nurse suspects that the infant has died from which of the following? a. Congenital heart defect b. Sudden infant death syndrome (SIDS) Many autopsies have shown that infants who have died of SIDS presented with frothy bloody secretions in the nose and mouth indicating a struggle for breath. Pneumonia would present with green or yellow secretions. Congenital heart defects and Tetralogy of Fallot (congenital heart defect) do not usually present with bloody frothy secretions. The nurse is teaching parents about placing a newborn infant on its back to sleep. A parent claims to have seen many babies placed on their sides in their cribs during a visit to the nursery. What does the nurse realize as a result of the parent's statement? a. Nurses are not aware of the risk. d. Nurses are role models. Many nurses cite the risk of aspiration as the reason for placing infants on their side. Nurses are role models, however, and if parents see staff placing infants on their sides, then the parents will do the same. There are no correct reasons for placing infants in a newborn nursery on their sides even if someone is always in attendance. Massive education is given to nurses about positioning of infants, so lack of knowledge is not an excuse. A client who is pregnant and had a child die from sudden infant death syndrome (SIDS) asks the nurse if there are measures that can be taken to prevent the second child from dying of SIDS. The nurse advises the client to do which of the following? a. Buy a firm mattress for the infant. a. Buy a firm mattress for the infant. A firm mattress without pillows and toys is the best sleeping environment for the prevention of SIDS as this will decrease the likelihood of the child smothering during sleep. Breastfeeding does not decrease SIDS. Feeding the baby small amounts makes the child cranky and hungry, and will not decrease the likelihood of SIDS. A nurse is discharging a mother and baby to home and providing education on sudden infant death syndrome (SIDS). The nurse knows that the parents need more education when they make which of the following statements? a. "We got him a puppy to grow
up with, it's going to be the cutest pictures and they are going to be best friends" c. "I cannot wait to take this little guy home and snuggle with him all night in bed" The
nurse is assessing a mother's understanding of SIDS prevention and knows that teaching has been successful when which of the following statements are made? Select all that apply. b, e The nurse educating on sudden infant death syndrome gives which of the following explanations to parents regarding what this diagnosis means? b. "The sudden, unexplained death of infants less than 12 months old" The nurse caring for a newborn is educating the parents on risk factors for sudden infant death syndrome. Which of the following should be included as risk factors? Select all that apply. a. Maternal smoking a, b, c, d The parents of a newborn are concerned about placing their baby on its back to sleep for fear of choking on spit up. The nurse addresses their concern by making which of the following statements? a. "I understand your concern. You can place them on their stomach if you want to" d. "I understand your concern, but research shows there is no increased risk for choking when placed on their back" A nurse is providing education to pregnant couples at a newborn basics class. Which of the following statements
by one of the clients would require further teaching? d. "We got him a little stuffed bear for his crib and not a big one" The nurse educating a group of parents on sudden infant death syndrome knows that which of the following are considered to be protective factors? Select all that apply. a. Using crib bumper pad c, e A nurse is providing discharge teaching to a family who is taking a new infant home. The nurse reviews the principles of how to prevent sudden unexpected infant death (SUID) at home. Which of the following principles should be included as part of this teaching? a. Remove all fluffy or heavy bedding or pillows from the baby's bed a. Remove all fluffy or heavy bedding or pillows from the baby's bed What are 5 risk factors for SIDS?Risk factors. Sex. Boys are slightly more likely to die of SIDS .. Age. Infants are most vulnerable between the second and fourth months of life.. Race. For reasons that aren't well-understood, nonwhite infants are more likely to develop SIDS .. Family history. ... . Secondhand smoke. ... . Being premature.. What are the key factors of SIDS quizlet?What is associated with an increased risk of SIDS?. Prone sleeping.. Sleeping on a soft surface.. Maternal smoking during pregnancy.. Second hand smoke.. Overheating.. Late or no prenatal care.. Young maternal age.. Preterm birth and/or low birth weight.. What are 3 things that can cause SIDS?Who Is at Risk for SIDS?. their mother smoked, drank, or used drugs during pregnancy and after birth.. their mother had poor prenatal care.. they were born prematurely or at a low birth weight.. there's a family history of SIDS.. their mothers were younger than 20 when they gave birth.. they are around tobacco smoke after birth.. Which birth factors place the neonate at risk for sudden infant death syndrome SIDS )? Select all that apply quizlet?Rationale: (D) Prematurity, low birth weight, and multiple births are important risk factors associated with SIDS. Immunizations have been disapproved to be associated with the disorder.
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