A nurse is reinforcing teaching about car seat safety with the parents of a 6-month-old infant.
Which of the following statements by the parents indicates a need for further teaching?
“Our car seat is rear-facing in the back passenger seat.”.
“The car seat is front-facing in the back passenger seat.”.
“Our car seat harness fastens snugly, and the seat is securely anchored.”.
“Our car seat is an infant model and is securely anchored.”.
The Correct Answer is B
Choice A rationale
A rear-facing car seat in the back passenger seat is the recommended position for a 6-month-old infant. This position provides the best protection for the infant’s head, neck, and spine in the event of a crash.
Choice B rationale
A front-facing car seat is not recommended for a 6-month-old infant. The American Academy of Pediatrics recommends that children remain in rear-facing car seats until they reach the highest weight or height allowed by their car seat’s manufacturer.
Choice C rationale
A snugly fastened harness and a securely anchored car seat are important for the safety of the infant. These measures ensure that the car seat will function as intended in the event of a crash.
Choice D rationale
Using an infant model car seat that is securely anchored is appropriate for a 6-month-old infant. Infant car seats are designed to provide appropriate support and protection for infants.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While it’s important to set boundaries and expectations for behavior, telling a toddler that temper tantrums are not acceptable may not be effective. Toddlers are still learning how to manage their emotions and may not fully understand this concept.
Choice B rationale
Punishing a toddler after a tantrum can reinforce the negative behavior. It’s better to ignore the tantrum and then praise the child when they are behaving appropriately.
Choice C rationale
Ignoring a toddler’s temper tantrums can be an effective strategy. By not giving attention to the negative behavior, the toddler learns that tantrums are not a successful way to get what they want.
Choice D rationale
Offering a reward if the child stops the tantrum can reinforce the negative behavior. The child may learn to start tantrums in order to receive a reward for stopping.
Correct Answer is A
Explanation
Choice A rationale
A bulging fontanel is a common sign of increased intracranial pressure (ICP) in infants. The fontanels, or soft spots on an infant’s head, allow for brain growth. When there is increased pressure, as in conditions that cause increased ICP, it can cause the fontanels to bulge outwards.
Choice B rationale
Insomnia is not typically associated with increased ICP in infants. Changes in consciousness, such as irritability or lethargy, may be seen, but these are not the same as insomnia.
Choice C rationale
A low-pitched cry is not typically associated with increased ICP in infants. Changes in cry might occur, but they are not specific to increased ICP4.
Choice D rationale
A positive Babinski reflex is normal in infants up to about 12 months of age. It is not specifically associated with increased ICP4.
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