Stage 2 — Analyze cues. Complete the four statements that distinguish safe sleep, developmental screening, iron screening, and car-seat transition criteria.
Drop-down Cloze
Choose your responses, then check the answer.
Explanation
Four current rules Begin every sleep supine; an infant who rolls both ways may remain in a self-selected position in an empty safe sleep space. Continue developmental surveillance at every visit and use a standardized screen at 9 months or sooner when concern arises. For an infant whose primary nutrition is human milk, current AAP guidance recommends CBC and serum ferritin at 9 to 12 months. Rear-facing continues until the manufacturer's rear-facing height or weight limit.
Safe sleep Rolling ability changes whether the caregiver must reposition an infant who rolled independently; it does not change the instruction to place the infant supine at the start of every sleep.
Monitoring is not screening Developmental surveillance belongs at each visit. A milestone checklist supports monitoring but is not a validated screen. Standardized general screening is recommended at 9, 18, and 30 months and whenever concern appears.
Updated iron timing The 2026 AAP report individualizes the screening window by primary nutrition. Human-milk-fed infants are screened at 9 to 12 months with CBC and serum ferritin, or at minimum hemoglobin if both cannot be obtained.
Car seat The seat's rear-facing limits govern transition; neither a fixed age of two nor apparently crowded legs overrides those limits.
Scenario (Stage 2 — Analyze cues)The nurse converts common parent questions into precise, current decision rules rather than age slogans.
Developmental surveillance — Longitudinal observation and parent-clinician discussion at health visits; it is broader and less formal than standardized developmental screening.
Standardized developmental screening — Use of a validated instrument at recommended ages and whenever surveillance raises concern; a milestone checklist alone is not a substitute.
Nutrition-timed iron screening — Laboratory screening scheduled during the interval of greatest risk based on whether human milk or iron-fortified formula was the primary nutrition source.