# The nurse reviews infant-care teaching with a parent. Which statements require follow-up? Highlight the statements that do not support a safe sleep environment.

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> url: https://mymerci.kr/pages/nclex_q.php?qn_id=494270&lang=en  
> language: en  
> subject: Lifestyle Choices  
> category: HPM

## Question

The nurse reviews infant-care teaching with a parent. Which statements require follow-up? Highlight the statements that do not support a safe sleep environment.

Nurses' Notes
1045:
The parent prepares to take a healthy 2-month-old infant home after a clinic visit. The infant will be placed on the back for every nap and nighttime sleep. The parent says, after feeding, the infant will sleep on the stomach so milk cannot come back up. A safety-approved crib with a firm, flat mattress will be used beside the parent's bed. Only a fitted sheet will cover the mattress, and a sleep sack will replace loose blankets. The parent plans to place a small positioning pillow under the infant's head to prevent a flat spot. Tummy time will occur while the infant is awake and an adult is watching. All grandparents and babysitters will receive the same safe-sleep instructions. The parent states if the infant falls asleep in a stroller, the infant will be moved to the crib when practical. The infant will sleep overnight in the car seat after it is carried indoors. The crib will remain free of bumpers, toys, quilts, and stuffed animals. The parent asks the nurse to watch a return demonstration of the sleep-space setup. The nurse identifies statements that need additional teaching before the family leaves.

## Explanation

Placing an infant prone for sleep, adding a positioning pillow, or leaving the infant to sleep in a car seat can obstruct breathing. Back sleeping on a firm, flat, empty surface is safer.

## In-depth explanation

Quick answer
Follow up on placing the infant prone after feeding, using a pillow to shape the head, and allowing overnight sleep in a car seat. These practices do not create a safe infant sleep environment.

Why this is correct
Infants should start every sleep on the back on a firm, flat, level surface covered only with a fitted sheet. Pillows and other soft objects stay out, and sitting devices are not routine sleep spaces.[2]

Easy analogy or mental picture
Think of a safe crib as a clear landing pad: flat, firm, and empty, with the baby arriving on the back. Extra cushions and tilted seats create obstacles near a small airway.

Memory hook
Back, flat, firm, empty: every sleep.

NCLEX decision rule
Separate sleep from awake development. Back sleeping is for naps and night; tummy time is useful only while the infant is awake and directly supervised.

Why the other choices are wrong
Room sharing without bed sharing, using a fitted sheet and sleep sack, supervised tummy time, moving a sleeping infant from a sitting device, and teaching every caregiver are recommended protective actions.References

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]NICHD Safe to Sleep: Ways to Reduce RiskEunice Kennedy Shriver National Institute of Child Health and Human Development

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