A nurse is reinforcing discharge teaching about car seat safety with the guardian of a newborn. Which of the following information should the nurse include in the teaching?
"Place a rolled blanket behind the newborn's neck during extended trips."
"Position the newborn's car seat at a 45° angle."
"Position the retainer clip at the level of the newborn's umbilicus."
"Place the newborn's car seat in a forward-facing position."
The Correct Answer is B
A. Placing a rolled blanket behind the newborn’s neck is unsafe and can cause improper positioning in the car seat. The newborn should be positioned properly according to the car seat manufacturer's instructions to ensure safety during travel.
B. The car seat should be positioned at a 45° angle to keep the newborn’s airway open and prevent slumping. This angle supports proper head and neck alignment, which is essential for the baby’s safety and comfort during travel.
C. The retainer clip should be positioned at the level of the newborn’s armpits, not the umbilicus. Proper placement of the retainer clip ensures that the harness is secure and correctly positioned over the baby’s shoulders.
D. Newborns should be placed in a rear-facing position in the car seat for optimal safety. Forward-facing car seats are used later, but infants should always be in a rear-facing car seat until they meet the age, weight, and height requirements for transitioning.
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Related Questions
Correct Answer is C
Explanation
A. Using a plastic cover on the crib mattress is not recommended because it can increase the risk of suffocation or overheating. Crib mattresses should be kept clean, but protective covers are not recommended for safety.
B. Placing a foam-wedge cushion under the newborn during naps is unsafe and increases the risk of Sudden Infant Death Syndrome (SIDS). Newborns should be placed on a firm, flat mattress for all sleep periods.
C. Ensuring that the mattress fits securely against the sides of the crib is crucial for preventing suffocation hazards. A snug fit between the mattress and crib sides prevents entrapment and ensures the baby’s safety while sleeping.
D. Placing bumper pads between the mattress and the rails of the crib is considered dangerous as they can pose suffocation and strangulation risks. Bumper pads are not recommended due to these safety hazards.
Correct Answer is A
Explanation
A. A single crease in the palm is correct. A single transverse palmar crease (simian line) is a common finding in infants with trisomy 21.
B. A notch in the lip is not a common finding in trisomy 21. This feature is more associated with other conditions like cleft lip or palate.
C. Extra digits on the hand (polydactyly) is not characteristic of trisomy 21. It is more commonly associated with other genetic conditions.
D. An inversion of the foot (clubfoot) is not a specific finding for trisomy 21. While some infants with trisomy 21 might have foot deformities, this is not a defining characteristic.
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