A nurse is providing discharge teaching to a new guardian about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?
"I should place the car seat rear-facing until my baby is 12 months old."
"I should position the retainer clip at the top of my baby's abdomen."
"I should position my baby's car seat at a 45" angle in the car
"I should place the harness snugly in a slot above my baby's shoulders."
The Correct Answer is C
A. The car seat should remain rear-facing until at least age 2, or until the child reaches the maximum height and weight limit specified by the manufacturer, not just until 12 months.
B. The retainer (chest) clip should be positioned at the level of the infant's armpits, not the abdomen, to ensure proper restraint.
C. Positioning the car seat at a 45° angle helps keep the infant’s airway open and reduces the risk of aspiration or airway obstruction.
D. For rear-facing seats, the harness straps should be at or below the baby's shoulders, not above.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. There is no vaccine for hepatitis C; vaccines exist for hepatitis A and B.
B. Syphilis can be cured effectively with penicillin, especially in early stages.
C. Gonorrhea can be treated and cured with appropriate antibiotics.
D. Genital herpes simplex virus is a viral infection and cannot be cured with antibiotics; antiviral medications manage symptoms.
Correct Answer is ["B","E","F"]
Explanation
A. Instruct the parent to avoid eye contact with the newborn during feeding – This is not recommended. While overstimulation should be minimized, gentle eye contact and bonding are still encouraged during feeding to promote attachment.
B. Weigh the newborn daily – Weight loss and feeding difficulties are common in NAS. Daily weight monitoring is essential to evaluate nutritional status and fluid balance.
C. Plan to administer naloxone – Naloxone is contraindicated in opioid-exposed neonates because it can precipitate acute withdrawal and seizures.
D. Instruct the parent to avoid breastfeeding – Breastfeeding is generally encouraged unless the mother is using illicit substances or is HIV-positive. Methadone is not a contraindication for breastfeeding.
E. Maintain a low stimulation environment – NAS newborns are easily overstimulated. A quiet, dimly lit environment helps reduce symptoms like irritability and tremors.
F. Swaddle the newborn with flexed extremities – Swaddling provides comfort and containment, helping to reduce stress responses in NAS infants.
G. Perform Ballard newborn screening each shift – The Ballard score is used once to assess gestational age and is not repeated every shift.
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