# A nurse provides anticipatory guidance about infant sleep. For each caregiver statement or finding, select the best classification. > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=395663&lang=en > language: en > subject: Health Promotion/Disease Prevention > category: HPM ## Question A nurse provides anticipatory guidance about infant sleep. For each caregiver statement or finding, select the best classification. | | Safe routine teaching | Increases sleep-related risk | Requires prompt clinical assessment rather than routine sleep teaching | | --- | --- | --- | --- | | Place the infant supine for every nap and nighttime sleep | | | | | Use a firm, flat, noninclined crib or bassinet with a fitted sheet and no soft objects or loose bedding | | | | | Room-share without bed-sharing, ideally for at least the first 6 months | | | | | Routinely bed-share or sleep with the infant on a sofa or armchair | | | | | Use a wedge, positioning device, weighted sleep product, or loose blanket | | | | | Report an episode of apnea, central cyanosis, or limpness during sleep | | | | ## Explanation Place the infant supine for every sleep on a firm, flat, noninclined sleep surface with only a fitted sheet. Room-sharing without bed-sharing is recommended, ideally for at least the first 6 months. Bed-sharing, sofa or armchair sleep, positioners, wedges, weighted sleep products, loose bedding, and soft objects increase risk. Apnea, cyanosis, or limpness is not a routine sleep-teaching issue and requires prompt clinical assessment. ## In-depth explanation Quick answer Use back sleeping on an empty, firm, flat, noninclined crib or bassinet; room-share without bed-sharing; remove wedges, weighted products, loose bedding, and soft objects; and escalate apnea, cyanosis, or limpness for assessment. Why this is correct A separate sleep surface in the caregiver's room supports proximity without the hazards of adult beds, sofas, or armchairs. Positioners and weighted or soft items do not make routine sleep safer and can create entrapment, suffocation, or overheating hazards. Easy analogy or mental picture Picture a clear runway: flat, firm, empty, and with the baby on the back. Extra products are obstacles, not safety upgrades. Memory hook Back. Flat. Firm. Empty. Nearby, not bed-sharing. NCLEX decision rule Classify routine prevention separately from symptoms. Teach the safe environment for every sleep, identify products and locations that increase risk, and refer color change, apnea, or altered responsiveness for prompt evaluation. Why the other choices are wrong Inclined surfaces, wedges, weighted products, loose objects, bed-sharing, and sleeping with an infant on a sofa or armchair conflict with safe-sleep recommendations. Apnea or cyanosis should never be normalized as a sleep habit. Source 1American Academy of Pediatrics Safe Sleep 2AAP Safe Sleep Recommendations 32026 NCLEX-RN Test Plan ## Clinical scenario The parents of a healthy 2-month-old ask how to reduce sleep-related risk. They have a crib, a fitted sheet, a positioning wedge, a weighted sleep product, and a sofa where a parent sometimes falls asleep while feeding the infant. ## Key concepts - **Supine sleep** — Placing an infant flat on the back for every sleep unless a qualified clinician documents a specific medical exception. - **Room-sharing** — Keeping the infant's separate approved sleep surface in the caregiver's room without sharing an adult bed. - **Sleep-related infant death** — A category that includes sudden infant death syndrome and accidental suffocation or strangulation in the sleep environment. ## Related questions - [A 6-month-old infant is brought to the well-child clinic for routine vaccinations. 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