Which statement describes a safe infant sleep environment regarding pillows?

• A. Pillows or loose bedding should be avoided; a firm, flat sleep surface with no pillows or loose bedding
• B. Pillows and loose bedding are fine
• C. A soft mattress with heavy blankets
• D. The infant should sleep on a high pillow

Answer: (A)

Safe infant sleep environments focus on keeping the airway clear and reducing the risk of suffocation. Pillows and loose bedding can shift or cover the infant’s face, increasing the chance of rebreathing or airway obstruction. A firm, flat sleep surface with no pillows or loose bedding supports safe breathing and helps prevent entanglement or suffocation.

That’s why the best statement is to avoid pillows or loose bedding and use a firm, flat sleep surface with nothing extra in the sleep area. Alternatives like a soft mattress with heavy blankets, sleeping on a high pillow, or having pillows or loose bedding present create risk factors for suffocation and should be avoided.