Practice Question
A nurse teaching the parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Answer Choices:
Correct Answer:
Serve food in small, non-circular pieces.
Rationale:
Serve food in small, non-circular pieces
🔹 Infants at 10 months are at high risk for choking, and small, non-circular pieces reduce the risk of airway obstruction.
🔹 Circular foods such as grapes, hot dogs, and round candies can block an infant’s narrow airway, making this an essential safety teaching.
🔹 Parents should be instructed to cut food into thin, irregular shapes, which are less likely to occlude the airway if aspirated.
🔹 Developmentally, infants at this age explore with their mouths, so safe food preparation is a primary prevention measure.
🔹 This teaching supports the prevention of life-threatening choking episodes, which remain one of the leading causes of infant deaths at home.
Fit the mattress snugly against crib sides
🔹 A mattress that fits tightly prevents the risk of entrapment, which is a major cause of infant suffocation and injury.
🔹 Gaps between the mattress and crib sides can trap a child’s head or limbs, increasing the risk for asphyxiation.
🔹 Safe sleep guidelines emphasize that crib equipment must fit securely, with no more than two fingers’ width allowed between mattress and crib frame.
🔹 This also prevents the infant from becoming wedged while moving during sleep, which can lead to serious injury.
🔹 Ensuring proper mattress fit is a critical component of high-quality safe-sleep education for caregivers.
Tie plastic bags in knots before discarding them
🔹 Although this may reduce risk, the key safety recommendation is to keep plastic bags completely out of infant reach, not simply tied.
🔹 Tying them in knots does not eliminate suffocation risk, as infants can still place bags over their heads.
🔹 The practice may give caregivers a false sense of safety, leading to unsafe storage of plastic materials.
🔹 Plastic bag hazards must be fully removed, not modified.
🔹 Safety guidelines emphasize total elimination of accessible plastic bags, making this teaching inadequate.
Set water heater at 65.6°C
🔹 Water heaters should be set to 49°C (120°F) to prevent scald injuries; 65.6°C greatly increases burn risk.
🔹 At 65.6°C, water can cause a third-degree burn in seconds, making it unsafe for infant households.
🔹 Pediatric burn-prevention protocols stress lower temperature settings to protect infants’ delicate skin.
🔹 A setting this high violates recommended home safety and burn-prevention standards.
🔹 Thus, the option does not meet evidence-based pediatric safety guidelines.
Install accordion-style gates
🔹Accordion-style gates pose entrapment hazards, especially for infants who may place heads or limbs through openings.
🔹They are specifically banned by modern safety recommendations, making them unsafe for home use.
🔹Infants may be able to push through unstable sides, increasing fall and injury risks.
🔹Safer alternatives include hardware-mounted or vertical-slat safety gates.
🔹Because of significant infant injury reports, accordion gates should never be recommended.
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This question is from Custom: Peds Assessment one 2025 which contains 53 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 5