NUR 4445 Health Promotion

NUR 4445 Health Promotion

• What are some subjects we need to emphasize to parents about infant safety (3)?

Answer

• Avoid smoking in the home or around the infant

• Aspiration and choking

• Car Seat Safety

Backseat of the car, rear facing

• What do we teach parents about preventing falls with their infant (4)?

Answer

• Never leave an infant on high surfaces (changing table, couch, chair, etc.)

• Never leave an infants in car seat or bouncy on high surfaces
• Crib rails up
• Gate stairs

• How can parents prevent inflicted injury on their infant (2)?

Answer

• Never shake a baby

• Never leave alone with a pet or young sibling
• What are some things we teach parents about home safety with an infant

(8)?Answer

• Set water temperature at 120oF to prevent accidental burns

• Check temp of bath water and formula if heated
• Never leave alone in bathtub or around any body of water
• Smoke alarms, have an exit plan
• Cover electric outlets
• Lock up chemicals, cleaners, keep in original containers; Keep poison control number handy 1 / 3

• Avoid use of walkers
• Sunscreen after 6 months
• What is sudden infant death syndrome (SIDS)? What are some risk factors

(4)?Answer

• the unexplained death of an infant less than 1 year of age, Peak age about 3 months

• Risk factors (p. 861)

• Smoking during pregnancy or in the home
• Co-sleeping
• LBW, preterm birth
• Native American or African American race

• What are prevention strategies for SIDS (3)?

Answer

• On the back for sleeping

• Avoid excess blankets, pillows, toys in bed
• Pacifier may be protective

• How can parents provide structure for their infant's sleep schedule (5)?

Answer

• Bedtime routine

• Quiet, relaxed environment
• Warm sleeping environment
• Place infant in crib when drowsy but not asleep
• Decrease night-time stimulation

• When is an infant's nocturnal sleep pattern established? How many hours a day does an infant

sleep? How many hours at night?

Answer 2 / 3

• Nocturnal Sleep pattern established around 4 months

• Sleeps about 14-18 hours per day
• 9-11 hours at night
• Usually two naps, but may only be one

• What is a brief unexplained event (BRUE)? Who usually experiences it?

Answer

• Episode of apnea accompanied by a color change, limp muscle tone, choking, or gagging.

• Usually in infants < 6 months

• What can cause BRUE (3)? What do we do for infants who experience this?

Answer

• causes

GERD, seizures, lower respiratory disorders

• Usually get admitted for a work-up
• 50% of cases have an underlying cause

• How long should an infant be receiving breastfeeding as their only source of nutrition?

Answer

• Breast milk or Formula - all that is needed

• Primary source of nutrition throughout the first year

-AAP recommends exclusive breastfeeding until about 6 months

• How often should an infant be breastfed or bottle-fed? What type of sup- plementation is

needed and why?

Answer

• Breastfed

nurse about every 2-3 hours

• Formula fed
• / 3