A 2-week-old infant is brought to the office for a routine health supervision visit. The parents are first-time parents and ask for guidance on keeping their baby safe. The infant was born at term with no complications and is exclusively breastfed. Physical examination shows a healthy-appearing newborn with normal growth parameters. Which of the following safety counseling topics is most appropriate to emphasize at this visit?
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AWater safety including constant supervision during bath time and pool fencing
BSupine sleep position in smoke-free environment with firm sleep surface
CChoking hazards and safe introduction of solid foods starting at 4 months
DRear-facing car seat installation and never leaving infant alone in vehicle
EPoison prevention including cabinet locks and poison control center number
✓ Correct answer: B. Supine sleep position in smoke-free environment with firm sleep surfaceFor newborns and young infants, safe sleep counseling (supine position, firm surface, no soft bedding, smoke-free environment) is the highest priority to reduce SIDS risk. This is evidence-based injury prevention for this age group. Distractor1 addresses older infant safety (6+ months for solid foods). Distractor2 is important but less immediately relevant than safe sleep. Distractor3 is appropriate for toddlers. Distractor4 applies to older infants who are mobile.
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