Question 1

The pediatric nurse is providing education to a new mother regarding ways to decrease the risk of sudden infant death syndrome (SIDS).Which statement by the nurse is appropriate?

Accepted Answer

The American Academy of Pediatrics recommends placing infants on their backs to sleep to decrease the risk of SIDS. Choices A and B are incorrect because infants should not have soft objects in their sleep area and they do not need to be monitored for apnea unless there is a medical indication. Choice D is incorrect as there is no link between SIDS and immunizations.

Question 2

The nurse is providing supportive care for the parents of an infant who died from sudden infant death syndrome (SIDS).Which action by the nurse is appropriate?

Accepted Answer

A)The family will need emotional support during this time, including support from the family's spiritual leader and support groups for parents who have lost children. This support should not be delayed for the investigation. An autopsy will be necessary, and interviews to determine the cause of death will be the responsibility of the medical examiner and law enforcement agents, not the nurse.
B)The family will need emotional support during this time, including support from the family's spiritual leader and support groups for parents who have lost children. This support should not be delayed for the investigation. An autopsy will be necessary, and interviews to determine the cause of death will be the responsibility of the medical examiner and law enforcement agents, not the nurse.
C)The family will need emotional support during this time, including support from the family's spiritual leader and support groups for parents who have lost children. This support should not be delayed for the investigation. An autopsy will be necessary, and interviews to determine the cause of death will be the responsibility of the medical examiner and law enforcement agents, not the nurse.
D)The family will need emotional support during this time, including support from the family's spiritual leader and support groups for parents who have lost children. This support should not be delayed for the investigation. An autopsy will be necessary, and interviews to determine the cause of death will be the responsibility of the medical examiner and law enforcement agents, not the nurse.

Question 3

The student nurse attends a workshop on culture and diversity with regard to sudden infant death syndrome (SIDS)and is now aware that the rate of occurrence is highest among which group of infants?

Accepted Answer

According to the Centers for Disease Control and Prevention (CDC), the rate of SIDS is highest among American Indian/Alaska Native infants, followed by African American and non-Hispanic Black infants, then by Caucasian and Hispanic infants, and finally by Asian/Pacific Islander infants.

Question 4

Sudden infant death syndrome is diagnosed

Accepted Answer

Sudden infant death syndrome (SIDS) is diagnosed when an autopsy fails to find a cause of death. This means that there are no signs of violence or disease that can explain the infant's death. It is important to note that SIDS is a diagnosis of exclusion, and healthcare professionals should thoroughly investigate other possible causes before attributing the cause of death to SIDS.

Question 5

The nurse is planning care for a new mother who smoked during the pregnancy and whose sister lost a child to sudden infant death syndrome (SIDS).Which interventions are appropriate for the nurse to include in the plan of care for the new mother and baby? Select all that apply.

Accepted Answer

Using firm bedding can reduce the risk of SIDS, and smoking cessation information is important for the health of both the mother and baby. Information on bottle-feeding and sleeping with others is not recommended, as breastfeeding and safe sleeping practices are associated with decreased risk of SIDS. The timing of immunizations is important but not directly related to the mother's smoking or family history of SIDS.

Question 6

The nurse is planning care for a baby born to a mother who smoked during the pregnancy.The mother states that she believes in bed sharing.Which nursing diagnosis would be appropriate for this baby?

Accepted Answer

Smoking during pregnancy increases the risk of SIDS for the baby. Bed sharing also increases the risk of SIDS, especially in households where smoking occurs. Therefore, the appropriate nursing diagnosis for this baby would be Risk for Sudden Infant Death Syndrome (SIDS).

Question 7

The nurse is providing care to a 7-month-old child hospitalized with RSV/bronchiolitis.The nurse can expect to provide client teaching to the parents about which medication?

Accepted Answer

A)Nebulized hypertonic saline is used to promote mucociliary clearance in hospitalized clients with RSV/bronchiolitis. Nebulized epinephrine and corticosteroids are no longer recommended for clients with RSV/bronchiolitis. Because RSV is a virus, antibiotics should not be used.
B)Nebulized hypertonic saline is used to promote mucociliary clearance in hospitalized clients with RSV/bronchiolitis. Nebulized epinephrine and corticosteroids are no longer recommended for clients with RSV/bronchiolitis. Because RSV is a virus, antibiotics should not be used.
C)Nebulized hypertonic saline is used to promote mucociliary clearance in hospitalized clients with RSV/bronchiolitis. Nebulized epinephrine and corticosteroids are no longer recommended for clients with RSV/bronchiolitis. Because RSV is a virus, antibiotics should not be used.
D)Nebulized hypertonic saline is used to promote mucociliary clearance in hospitalized clients with RSV/bronchiolitis. Nebulized epinephrine and corticosteroids are no longer recommended for clients with RSV/bronchiolitis. Because RSV is a virus, antibiotics should not be used.

Question 8

A nurse is preparing to educate a group of parents on sudden infant death syndrome (SIDS).Which variables should the nurse highlight as contributing to increased risk of SIDS? Select all that apply.

Accepted Answer

A)Significant stressors contributing to SIDS are prone or side sleeping, loose bedding, and bed sharing. Infants in the prone or side-lying positions are vulnerable because the brainstem abnormality compromises their protective reflexes, such as arousal and head turning, when experiencing asphyxia. Supine sleeping is a method to decrease the risk for SIDS.
B)Significant stressors contributing to SIDS are prone or side sleeping, loose bedding, and bed sharing. Infants in the prone or side-lying positions are vulnerable because the brainstem abnormality compromises their protective reflexes, such as arousal and head turning, when experiencing asphyxia. Supine sleeping is a method to decrease the risk for SIDS.
C)Significant stressors contributing to SIDS are prone or side sleeping, loose bedding, and bed sharing. Infants in the prone or side-lying positions are vulnerable because the brainstem abnormality compromises their protective reflexes, such as arousal and head turning, when experiencing asphyxia. Supine sleeping is a method to decrease the risk for SIDS.
D)Significant stressors contributing to SIDS are prone or side sleeping, loose bedding, and bed sharing. Infants in the prone or side-lying positions are vulnerable because the brainstem abnormality compromises their protective reflexes, such as arousal and head turning, when experiencing asphyxia. Supine sleeping is a method to decrease the risk for SIDS.
E)Significant stressors contributing to SIDS are prone or side sleeping, loose bedding, and bed sharing. Infants in the prone or side-lying positions are vulnerable because the brainstem abnormality compromises their protective reflexes, such as arousal and head turning, when experiencing asphyxia. Supine sleeping is a method to decrease the risk for SIDS.

Question 9

The nurse is planning care for the parents of an infant who died as the result of sudden infant death syndrome.Which collaborative interventions does the nurse plan for when providing care to these parents? Select all that apply.

Accepted Answer

The parents of an infant who died as a result of sudden infant death syndrome will be going through a difficult grieving process. The nurse should plan to perform a psychosocial assessment to determine the emotional and psychological state of the parents. Referring the parents to a grief counselor, psychotherapist or chaplain can help provide emotional support to the parents during this difficult time. However, a respiratory therapist referral would not be necessary as sudden infant death syndrome is not a respiratory illness.

Question 10

The nurse is evaluating care provided to a new mother whose infant is at risk for sudden infant death syndrome (SIDS).Which statement by the mother indicates teaching has been effective?

Accepted Answer

A)If the mother of an infant at risk for SIDS expresses her plan to quit smoking, the nursing care has been effective. Loose-fitting sheets and blankets are associated with an increased risk for the syndrome. The prone and side-lying positions increase the risk for the syndrome. The feeding method is not implicated with the syndrome and would not be used to evaluate the plan of care for an infant at risk for SIDS.
B)If the mother of an infant at risk for SIDS expresses her plan to quit smoking, the nursing care has been effective. Loose-fitting sheets and blankets are associated with an increased risk for the syndrome. The prone and side-lying positions increase the risk for the syndrome. The feeding method is not implicated with the syndrome and would not be used to evaluate the plan of care for an infant at risk for SIDS.
C)If the mother of an infant at risk for SIDS expresses her plan to quit smoking, the nursing care has been effective. Loose-fitting sheets and blankets are associated with an increased risk for the syndrome. The prone and side-lying positions increase the risk for the syndrome. The feeding method is not implicated with the syndrome and would not be used to evaluate the plan of care for an infant at risk for SIDS.
D)If the mother of an infant at risk for SIDS expresses her plan to quit smoking, the nursing care has been effective. Loose-fitting sheets and blankets are associated with an increased risk for the syndrome. The prone and side-lying positions increase the risk for the syndrome. The feeding method is not implicated with the syndrome and would not be used to evaluate the plan of care for an infant at risk for SIDS.

Question 11

The nurse is instructing new parents on ways to decrease the risk of sudden infant death syndrome (SIDS)with their newborn son.What should be included in these instructions? Select all that apply.

Accepted Answer

The nurse should instruct the parents to avoid placing the baby in the prone or side-lying position for sleep, as this is a known risk factor for SIDS. Additionally, the parents should be advised to reduce all exposure to secondhand smoke, as this has also been shown to increase the risk of SIDS. Option A is incorrect because there are several things that can be done to decrease the risk of SIDS. Option B is incorrect because SIDS is most common in infants under 6 months of age. Option D is incorrect because there is no evidence to suggest that SIDS is more common in females than males.

Question 12

The primary cells involved in infection by respiratory syncytial virus (RSV)are the

Accepted Answer

The primary cells involved in infection by respiratory syncytial virus (RSV) are the squamous epithelial cells of the bronchioles and alveoli. RSV infects and damages these cells, leading to inflammation and narrowing of the airways, which can cause respiratory distress and other symptoms of RSV infection. Smooth muscle cells, granular pneumonocytes, and macrophages/monocytes may also be affected by RSV infection, but they are not the primary targets of the virus.

Question 13

The nurse is placing a newborn baby in the nursery crib with the baby's back down.The mother tells the nurse that she doubts the baby will be able to sleep that way,as all the family members sleep on their stomachs.Which action by the nurse is appropriate?

Accepted Answer

Placing the baby on the back is the recommended position to reduce the risk of SIDS, and it is important for the nurse to educate the mother on this. Placing the baby on the stomach increases the risk of complications such as breathing difficulties, and suggesting the mother place the baby on the stomach when at home is not appropriate as it goes against safe sleep recommendations. Instructing the mother that babies do not care about the position they are in is also not appropriate as it does not address the importance of safe sleep practices.

Question 14

A nurse is preparing to educate a group of parents on sudden infant death syndrome (SIDS).Which intervention is appropriate to decrease an infant's risk for SIDS?

Accepted Answer

Using firm bedding can decrease an infant's risk for SIDS by preventing suffocation and limiting the infant's ability to become trapped under bedding. Ensuring the room temperature is around 68-72°F and placing the infant in a supine position for sleeping are also recommended interventions for reducing the risk of SIDS. Bed sharing is not recommended as it increases the risk of suffocation and accidental injury. Placing the infant in a prone position for sleeping is also not recommended as it increases the risk of SIDS.

Question 15

Which is the most appropriate outcome for the nurse to select for a 78-year-old resident of a long-term care facility with regard to preventing RSV?

Accepted Answer

A)RSV is spread by direct contact with contaminated surfaces or an infected individual, so use of proper hand washing techniques can help prevent infection in susceptible individuals. Both adequate fluid intake and meeting daily nutritional needs will be beneficial for the client, but they are not specifically related to preventing infection. An outcome related to airways remaining clear of secretions is more appropriate for an individual who already has RSV.
B)RSV is spread by direct contact with contaminated surfaces or an infected individual, so use of proper hand washing techniques can help prevent infection in susceptible individuals. Both adequate fluid intake and meeting daily nutritional needs will be beneficial for the client, but they are not specifically related to preventing infection. An outcome related to airways remaining clear of secretions is more appropriate for an individual who already has RSV.
C)RSV is spread by direct contact with contaminated surfaces or an infected individual, so use of proper hand washing techniques can help prevent infection in susceptible individuals. Both adequate fluid intake and meeting daily nutritional needs will be beneficial for the client, but they are not specifically related to preventing infection. An outcome related to airways remaining clear of secretions is more appropriate for an individual who already has RSV.
D)RSV is spread by direct contact with contaminated surfaces or an infected individual, so use of proper hand washing techniques can help prevent infection in susceptible individuals. Both adequate fluid intake and meeting daily nutritional needs will be beneficial for the client, but they are not specifically related to preventing infection. An outcome related to airways remaining clear of secretions is more appropriate for an individual who already has RSV.

Question 16

When assessing the risk of a newborn for sudden infant death syndrome (SIDS),which are risk factors that the nurse should consider? Select all that apply.

Accepted Answer

A) SIDS is most common in American Indians and Alaska Natives, followed by non-Hispanic Blacks, non-Hispanic Whites, Asian or Pacific Islanders, and Hispanics. It is more common in males than in females. SIDS is most common in infants between 2 and 4 months of age. Father's age and infant eye color are not related to the risk of SIDS.
B) SIDS is most common in American Indians and Alaska Natives, followed by non-Hispanic Blacks, non-Hispanic Whites, Asian or Pacific Islanders, and Hispanics. It is more common in males than in females. SIDS is most common in infants between 2 and 4 months of age. Father's age and infant eye color are not related to the risk of SIDS.
C) SIDS is most common in American Indians and Alaska Natives, followed by non-Hispanic Blacks, non-Hispanic Whites, Asian or Pacific Islanders, and Hispanics. It is more common in males than in females. SIDS is most common in infants between 2 and 4 months of age. Father's age and infant eye color are not related to the risk of SIDS.
D) SIDS is most common in American Indians and Alaska Natives, followed by non-Hispanic Blacks, non-Hispanic Whites, Asian or Pacific Islanders, and Hispanics. It is more common in males than in females. SIDS is most common in infants between 2 and 4 months of age. Father's age and infant eye color are not related to the risk of SIDS.
E) SIDS is most common in American Indians and Alaska Natives, followed by non-Hispanic Blacks, non-Hispanic Whites, Asian or Pacific Islanders, and Hispanics. It is more common in males than in females. SIDS is most common in infants between 2 and 4 months of age. Father's age and infant eye color are not related to the risk of SIDS.

Question 17

The nurse is providing parenting teaching regarding reducing the risk of sudden infant death syndrome (SIDS).Which teaching point is a priority for the nurse to include?

Accepted Answer

The American Academy of Pediatrics recommends that infants be placed on their back for sleep to reduce the risk of SIDS. Side-lying and face-down positions can increase the risk of SIDS. Adequate nutritional intake and good hand washing are important for overall health, but not specifically related to reducing the risk of SIDS.

Question 18

The nurse is assessing an adult client with respiratory syncytial virus (RSV).Which symptom will the nurse expect to assess that is not seen in infants with RSV?

Accepted Answer

Headache is more commonly seen in adults with RSV, while the other symptoms (rhinorrhea, cough, and apnea) may be present in both adults and infants.

Question 19

How does a brainstem abnormality contribute to the risk of SIDS when an infant is placed on his stomach to sleep?

Accepted Answer

The brainstem abnormality affects the infant's arousal and head turning responses, which are key protective mechanisms that help prevent asphyxia. If the infant is placed on his stomach to sleep, he may not be able to turn his head to breathe properly and may not wake up easily if there is a problem with breathing. This increases the risk of SIDS.

Quiz 15: Oxygenation

The pediatric nurse is providing education to a new mother regarding ways to decrease the risk of sudden infant death syndrome (SIDS) .Which statement by the nurse is appropriate?

The nurse is providing supportive care for the parents of an infant who died from sudden infant death syndrome (SIDS) .Which action by the nurse is appropriate?

The student nurse attends a workshop on culture and diversity with regard to sudden infant death syndrome (SIDS) and is now aware that the rate of occurrence is highest among which group of infants?

Sudden infant death syndrome is diagnosed

The nurse is planning care for a new mother who smoked during the pregnancy and whose sister lost a child to sudden infant death syndrome (SIDS) .Which interventions are appropriate for the nurse to include in the plan of care for the new mother and baby? Select all that apply.

The nurse is planning care for a baby born to a mother who smoked during the pregnancy.The mother states that she believes in bed sharing.Which nursing diagnosis would be appropriate for this baby?

The nurse is providing care to a 7-month-old child hospitalized with RSV/bronchiolitis.The nurse can expect to provide client teaching to the parents about which medication?

A nurse is preparing to educate a group of parents on sudden infant death syndrome (SIDS) .Which variables should the nurse highlight as contributing to increased risk of SIDS? Select all that apply.

The nurse is planning care for the parents of an infant who died as the result of sudden infant death syndrome.Which collaborative interventions does the nurse plan for when providing care to these parents? Select all that apply.

The nurse is evaluating care provided to a new mother whose infant is at risk for sudden infant death syndrome (SIDS) .Which statement by the mother indicates teaching has been effective?

The nurse is instructing new parents on ways to decrease the risk of sudden infant death syndrome (SIDS) with their newborn son.What should be included in these instructions? Select all that apply.

The primary cells involved in infection by respiratory syncytial virus (RSV) are the

The nurse is placing a newborn baby in the nursery crib with the baby's back down.The mother tells the nurse that she doubts the baby will be able to sleep that way,as all the family members sleep on their stomachs.Which action by the nurse is appropriate?

A nurse is preparing to educate a group of parents on sudden infant death syndrome (SIDS) .Which intervention is appropriate to decrease an infant's risk for SIDS?

Which is the most appropriate outcome for the nurse to select for a 78-year-old resident of a long-term care facility with regard to preventing RSV?

When assessing the risk of a newborn for sudden infant death syndrome (SIDS) ,which are risk factors that the nurse should consider? Select all that apply.

The nurse is providing parenting teaching regarding reducing the risk of sudden infant death syndrome (SIDS) .Which teaching point is a priority for the nurse to include?

The nurse is assessing an adult client with respiratory syncytial virus (RSV) .Which symptom will the nurse expect to assess that is not seen in infants with RSV?

How does a brainstem abnormality contribute to the risk of SIDS when an infant is placed on his stomach to sleep?