00156 Sudden Death Risk Of Infant

Domain 11: security/protection
Class 2: physical injury
Diagnostic Code: 00156
Nanda label: sudden death risk of infant
Diagnostic focus: sudden death
Approved 2002 • Revised 2013, 2017 • Level of evidence 3.2

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « sudden death risk of infant is defined as: infant susceptible to unexpected death.

Risk factors

  • Delay in prenatal care
  • Inadequate prenatal care
  • Lack of attention to passive smoker
  • Use a smallita to sleep regularly in infants of less than 4 months
  • Excessively heated infant
  • Excessively covered infant
  • Infant in prone to sleep
  • Infant in lateral recumbency to sleep
  • Mattress too soft
  • Soft and loose objects near the infant

Risk population

  • Male children
  • Infants between 2 and 4 months of age
  • Infants exposed to alcohol in the uterus
  • Infants exposed to cold climates
  • Infants exposed to illicit drugs in the uterus
  • Infants fed with extracted breast
  • Infants not exclusively fed with breastfeeding
  • zest of African descent
  • Infants whose mothers smoked during pregnancy
  • Infants with postnatal exposure to alcohol
  • Infants with postnatal exposure to illicit drugs
  • Infants with low birth weight
  • native-American ethnicity nursing
  • Premature infants

Suggestions of use

Use the most specific labels that coincide with the defining characteristics of the patient. This label is more specific than risk of injury, for example. It is important to observe that SMSI risk factors are limited to the place where the baby sleeps, except prenatal and immodifiable factors; as risk of suffocation includes risk factors throughout the environment; It can also be applied to children of one year or more.

Suggested alternative diagnostics

  • Asphyxiation, risk of
  • injury, risk of

NOC Results

Note : The desired result for the risk of sudden children’s death syndrome is that the child does not die suddenly, and there is no result

  • Noc like that. The following results are related to the risk factors of the SMSI.
  • Behavior to the cessation of smoking: personal actions to stop consuming tobacco
  • Organization of premature infants: extrauterine integration of the physiological and behavioral function of the infant born after a gestation of 24 to 37 weeks (term)
  • Paternity: Physical security in the first two years of life: parents’ actions to avoid physical injuries in a child from birth to two years of age

Evaluation objectives and criteria

  • • Demonstrates paternity: Security in the first two years of life, which is manifested by the following indicators (specify from 1 to 5: never, sometimes, sometimes, often or usually):
    • Use a crib that meets the rules
    • To sleep it, place the baby on your back
  • Other examples

    The father will be able to:

    • • Obtain early and adequate prenatal care
    • • Identify adequate security factors that protect the individual or child from the SMSI
    • • Show knowledge about mattresses and safe bedding
    • • Do not smoke during pregnancy; nor expose the baby to passive smoking

    NIC Interventions

    • Parent Education: Child: Instructions on parenting and the necessary physical care during the first year of life
    • Teaching: infant security: Security instruction during the first year of life
    • Development promotion: Structure of the environment and provision of care in response to the states and behavioral indications of the premature neonate
    • Risk identification: family with children: identification of a person or family who probably experiences difficulties in parenting and establishing strategies priorities to prevent parenting problems

    Nursing Activities


    • • Evaluate the child’s safety to sleep (for example, not use feathers or pillows in the baby’s cradle)
    • • Evaluate prenatal risk factors, such as youth or mother’s smoking
    • • Assess whether the use of a cardiorespiratory monitor is indicated

    Patient and family education

    • • Provide educational material related to strategies and measures to prevent sudden children’s death syndrome, as well as emergency resuscitation measures to treat it
    • • Provide the patient with emergency telephone numbers (ambulance or 911, as appropriate in their locality)
    • • Teach the family not to expose the baby to passive smoking
    • • Teach parents that they should not sleep with the infant
    • • Teach the child in supine to sleep
    • • Teach not to use feathers or any other fluffy material, or blankets or pillows in the baby’s bed

    Collaboration activities

    • • Channel to the patient to educational classes in the community (for example, CPR)

    At home

    • • The above activities are suitable for home use