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    Nurs 2258-4331 Paediatrics Proctored Exam

    The nurse is providing anticipatory guidance to a mother to help promote healthy sleep for her 3-week-old baby. Which recommended guideline might be included in the teaching plan?

    Explanation & Rationale

    Choice A reason: Soft mattresses and pillows are contraindicated for infants due to the risk of suffocation and sudden infant death syndrome (SIDS). The sleep surface should be firm and flat, with no pillows or loose bedding. Choice B reason: Placing infants on their backs to sleep is the most effective strategy to reduce the risk of SIDS. This recommendation is supported by pediatric guidelines and should be emphasized in all newborn sleep education. Choice C reason: While fresh air may be beneficial, placing the head of the bed near a window introduces risks such as drafts, temperature instability, and environmental allergens. It is not a recommended sleep practice for newborns. Choice D reason: If a newborn sleeps through the night, it is generally not necessary to wake them for feeding unless there are concerns about weight gain or hydration. At 3 weeks, most infants wake naturally for feeds. This statement may not apply universally and is not a standard guideline.

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