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The nurse is teaching a group of new parents about sudden infant death syndrome (SIDS). Which recommendation should the nurse emphasize?
- A. Place the infant on a soft mattress for sleep
- B. Ensure the infant sleeps in a prone position
- C. Keep soft objects and loose bedding out of the crib
- D. Dress the infant warmly to prevent hypothermia during sleep
Correct Answer: C
Rationale: Keeping soft objects and loose bedding out of the crib reduces SIDS risk by preventing suffocation, per AAP safe sleep guidelines. Prone position and soft mattresses increase risk.
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The nurse is educating a pregnant patient who expects to breastfeed. The nurse knows that when a patient breastfeeds, which portions of the breast secrete milk?
- A. Lactiferous sinuses
- B. Lobes
- C. Montgomerys glands
- D. Alveoli
Correct Answer: D
Rationale: The alveoli secrete milk.
When discussing normal infant growth and development with parents, which of the following toys would the nurse suggest as most appropriate for an 8-month-old?
- A. Push-pull toys
- B. Rattle
- C. Large blocks
- D. Mobile
Correct Answer: C
Rationale: Because the 8-month-old is refining his gross motor skills, being able to sit unsupported and also improving his fine motor skills, probably capable of making hand-to-hand transfers, large blocks would be the most appropriate toy selection.
What statement indicates the parent understands the guidelines for bathing a newborn?
- A. I'll use a mild soap to clean all of the body parts.'
- B. I am going to add bath oil to the water to keep the baby's skin soft.'
- C. I should shampoo the head after washing the rest of the body.'
- D. I'll wash from the feet upward and change the washcloth for the face.'
Correct Answer: C
Rationale: The shampoo is done last, because the large surface area of the head predisposes the infant to heat loss.
The nurse would explain to the father which concept of Piaget's cognitive development as the basis for the child's fear of darkness?
- A. Reversibility
- B. Animism
- C. Conservation of matter
- D. Object permanence
Correct Answer: B
Rationale: Animism, where children attribute life-like qualities to inanimate objects, can contribute to a fear of the dark.
Which of the following best describes parallel play between two toddlers?
- A. Sharing crayons to color separate pictures
- B. Playing a board game with a nurse
- C. Sitting near each other while playing with separate dolls
- D. Sharing their dolls with two different nurses
Correct Answer: C
Rationale: Toddlers engaging in parallel play will play near each other, but not with each other.