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The baby's vital signs have stabilized by 0100 hours. Upon completion of assessment and documentation, the nurse takes the baby to Ms. Myers, who wants to breastfeed and room-in with the baby. After the nurse checks the ID bands, the infant is positioned for breastfeeding. The nurse checks on Ms. Myers and the baby at 0200 hours. Both are asleep in the bed, with the baby lying beside Ms. Myers.

What should the nurse do next?

A. Wake up Ms. Myers and remind her to breastfeed.
B. Place the baby in the bassinet next to Ms. Myers.
C. Conduct a thorough assessment of the baby.
D. Turn off the lights and allow the mother and baby to continue sleeping.

Answer :

Final answer:

The nurse should place the baby in the bassinet next to Ms. Myers for safety. Informing Ms. Myers about safe-sleep practices is an immediate priority, along with any discussion on breastfeeding.

Explanation:

The nurse should take action to ensure the safety of the baby by placing the baby in the bassinet next to Ms. Myers. It is not safe for a newborn to sleep in the bed beside a sleeping parent due to the risks of accidental smothering or Sudden Infant Death Syndrome (SIDS).

The nurse should gently wake Ms. Myers and inform her of the safe-sleep practices which include the use of a bassinet and placing the baby on their back to sleep. Following the transfer of the baby to the bassinet, the nurse can then discuss breastfeeding with Ms. Myers if needed, but ensuring the baby's safety is the immediate priority.

Relevant to this scenario is the knowledge that breastfeeding has been shown to dramatically reduce the risk of SIDS, but safe sleep practices must still be observed. This includes ensuring that babies sleep on their backs, on a firm mattress, and without loose coverings.

Also of importance are the parental behaviors that can contribute to a safe sleep environment, such as not using alcohol or medication that could impair their ability to wake and ensuring their hair does not pose a risk to the baby.

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