what is the most effective way to prevent sudden infant death syndrome sids

ATI RN

ATI Nursing Care of Children 2019 B

1. What is the most effective way to prevent sudden infant death syndrome (SIDS)?

A. Use a firm mattress
B. Place the baby on their back to sleep
C. Keep the room warm
D. Breastfeed exclusively

Correct answer: B

Rationale: The correct answer is to place the baby on their back to sleep. This position is the most effective way to prevent sudden infant death syndrome (SIDS) according to research and recommendations from healthcare providers. Choice A, using a firm mattress, is important for infant safety but not as directly related to preventing SIDS. Keeping the room warm, as mentioned in choice C, is not recommended as it may increase the risk of SIDS. While breastfeeding has many benefits, choice D, breastfeeding exclusively is not the most effective method for preventing SIDS.

2. A 3-year-old child was adopted immediately after birth. The parents have just asked the nurse how they should tell the child that she is adopted. Which guideline concerning adoption should the nurse use in planning a response?

A. It is best to wait until the child asks about it.
B. The best time to tell the child is between the ages of 7 and 10 years.
C. It is not necessary to tell a child who was adopted so young.
D. Telling the child is an important aspect of their parental responsibilities.

Correct answer: D

Rationale: It is important to tell children about their adoption early, in an age-appropriate manner, as part of building trust and openness in the family relationship.

3. What statement is descriptive of renal transplantation in children?

A. It is an acceptable means of treatment after age 10 years.
B. Children can receive kidneys only from other children.
C. It is the preferred means of renal replacement therapy in children.
D. The decision for transplantation is difficult because a relatively normal lifestyle is not possible.

Correct answer: C

Rationale: Renal transplantation is the preferred method of treatment for children with end-stage renal disease, as it offers the best chance for a normal lifestyle compared to long-term dialysis. Transplantation can be performed at any age, and kidneys can come from adult donors as well.

4. The nurse is caring postoperatively for an 8-year-old child with multiple fractures and other traumatic injuries from a motor vehicle crash. The child is experiencing severe pain. What is an important consideration in managing the child’s pain?

A. Give only an opioid analgesic at this time.
B. Increase the dosage of analgesic until the child is adequately sedated.
C. Plan a preventive schedule of pain medication around the clock.
D. Give the child a clock and explain when they can have pain medications.

Correct answer: C

Rationale: For severe postoperative pain, a preventive around-the-clock schedule is necessary to prevent decreased plasma levels of medications. Providing only an opioid analgesic at this time may not be sufficient for effective pain management. Increasing the dosage without an order is unsafe and may lead to oversedation. Planning a preventive schedule of pain medication around the clock ensures consistent pain relief and better management. Giving the child a clock and explaining when they can have pain medications may increase the child's focus on waiting for relief rather than addressing the pain promptly, making it a less effective strategy.