# Which anticipatory-guidance counseling points should the nurse include for parents of a 6-month-old at the well-child visit? Select all that apply.

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> language: en  
> subject: Health Promotion and Maintenance  
> category: HPM

## Question

Which anticipatory-guidance counseling points should the nurse include for parents of a 6-month-old at the well-child visit? Select all that apply.

1

Use a rear-facing car seat in the back seat until at least age 2 years per AAP

2

Cosleep with the infant on a sofa for easier breastfeeding access

3

Place infant Alone, on the Back, in a Crib (ABC) for sleep without soft items

4

Avoid infant walkers due to fall and burn risk; AAP recommends elimination

5

Set water heater to 120 F or below to prevent scald injury

## Explanation

AAP guidance: rear-facing car seat in the back seat at least to age 2 (longer per height/weight limits); SIDS prevention with ABC sleep — Alone, Back, Crib without bumpers, blankets, or soft toys; AAP 2018 recommends eliminating mobile infant walkers (associated with falls and head injury); water heater at 120 F or below prevents scald. Cosleeping on a sofa or armchair is HIGH RISK for SIDS and suffocation and is contraindicated.

## In-depth explanation

Bedsharing in any form is not endorsed by AAP. Room-sharing without bed-sharing for at least 6 months reduces SIDS by up to 50 percent.

## Clinical scenario

Healthy 6-month-old, breastfed, sleeping in parents bed currently.

## Key concepts

- **SIDS** — Sudden Infant Death Syndrome; unexplained death in a sleeping infant.
- **ABC of safe sleep** — Alone, on the Back, in a Crib without soft objects.
- **anticipatory guidance** — Counseling on developmentally expected risks before they occur.

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