The nurse is caring for a first-time mother who is asking how to help her baby sleep through the night as the baby gets older. Which recommendation should the nurse tell the mother?

  • “Rock her to sleep every night until she is in a deep sleep.”
  • “Give diphenhydramine 12.5 mg orally to put the baby to sleep.”
  • “If she starts waking up a lot in the middle of the night, put her in the bed with you.”
  • “Give the last feeding as late as possible, and put her in the bed awake without a bottle.”
Number 4 is correct.
Feeding the infant as late as possible and putting her in bed awake without a bottle helps the infant learn to recognize cues for bedtime, and learn to fall asleep on her own. Rocking the infant will not allow her to learn to self-soothe. The infant should never be given diphenhydramine simply to make her sleep for the parents’ convenience. The nurse should not act in the role of a prescriber by advising the mother to give medication to make her sleep. Infants should never share the bed with parents for safety reasons.