Question

A 19-year-old mother, of a 3-month-old baby boy appear in the Emergency Room frantic about her baby not breathing and appears to be cyanotic. Upon assessment of the baby, breath sounds are not present, no pulses detected, the baby is pronounced dead. She explains to the ER nurse that she had found her baby wrapped in blankets, face down in the crib. The nurse continues to asses the mother who explains the baby was born prematurely at 32 weeks. She also states, “I continued to smoke and drink during the first trimester because I didn’t know I was pregnant.” After an autopsy was performed, the baby had died from Sudden Infant Death Syndrome (SIDS).

1. What preventative education could the nurse give?

1. What are 3 risk factors that the mother presented with?

1. What 2 interventions should the nurse do for the mother now?

1. What are 3 risk factors that were found during baby’s assessment?

1. Which response by the nurse most appropriate?
   1. “Did you hear the infant cry out?”
   2. “Was the infant’s head buried in a blanket?”
   3. “Were any of the siblings jealous of the new baby?”
   4. “How did the infant look when you found them?”

Answer 1

1, Preventive education:
-never make the baby sleep on the stomach
-Provide back sleep to avoid suffocation.
-don't use pillow, toys or blanket in the crib, it disturbs the baby's breathing and causes overheating.
-avoid overheating the baby
-Keep the baby crib always in the parent room to avoid the dangerous situation for the baby
-Don't allow the baby to sleep with them it causes suffocation
-Make a position for baby with hands out about their head for easy movement.
-provide pacifier to keep the chance of airway open
-Breastfeed often
-Avoid using wedge-shape sleep positioner to avoid suffocation
2, mother smoking and drinking habit during the first trimester
Being a premature baby and wrapped in the blanket, face down in the crib.
3, Education of parents to avoid risk factors and avoiding smoke and alcohol relate behavior to make improvement
empower knowledge, skills for mothers with motivational behavior changes for protecting babies from SIDS. educate the mother for preventive measures and involve them in parenting programs to provide a safe and nurturing environment for their child.
4, Risk factors include baby wrapped in the blanket, face down in the crib, the baby was premature at 32 weeks.
5, was the infant's head buried in a blanket?
Because it causes overheating and suffocation for the baby.