A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which statement by a parent indicates an understanding of the teaching?

When my baby is 1 year old, I can turn their car seat facing forward.

I can use a sleep sack to keep my baby warm in the car seat.

My baby will need a car seat challenge test before discharge.

The car seat should be positioned in the car at a 45-degree angle.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Turning a baby’s car seat forward when they are 1 year old is not recommended. According to the American Academy of Pediatrics, children should ride in a rear-facing car seat as long as possible, until they reach the highest weight or height allowed by their seat. This is because rear-facing car seats provide the best protection for the baby’s head, neck, and spine in a crash.
Choice B rationale
While it’s important to keep a baby warm in the car seat, using a sleep sack is not the safest option. Bulky outerwear and blankets can interfere with the tightness of the harness, which can compromise the safety of the baby. Instead, it’s recommended to dress the baby in lighter layers and place a warm blanket over them and the harness.
Choice C rationale
A car seat challenge test, also known as a car seat trial, is usually performed on babies who were born preterm, not at full term. This test checks whether the baby can sit in a car seat safely without any breathing problems or other complications. Since the newborn in question was delivered at 38 weeks of gestation, which is considered full term, a car seat challenge test is not typically required.
Choice D rationale
The car seat should indeed be positioned at a 45-degree angle. This angle is especially important for newborns and infants who are rear-facing, as it helps to support their head and prevent it from falling forward.

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Correct Answer is A

Explanation

Choice A rationale
In the case of intrauterine fetal demise at 36 weeks of gestation, the most common treatment option is induction of labor.
Choice B rationale
An immediate cesarean birth is typically not the first choice of treatment for intrauterine fetal demise unless there are other complications.
Choice C rationale
Methotrexate is used to treat ectopic pregnancies, not intrauterine fetal demise.
Choice D rationale
Dilation with suction curettage is typically used for early pregnancy loss, not late-term intrauterine fetal demise.

A. Apply oxygen at 2 L/min via nasal cannula. B. Massage the client’s fundus. C. Turn the client to a side-lying position. D. Assist the client to empty their bladder.

Correct Answer is C

Explanation

Choice A rationale
Applying oxygen at 2 L/min via nasal cannula may be beneficial for a client experiencing hypotension following the administration of epidural anesthesia, but it is not the primary action a nurse should take.
Choice B rationale
Massaging the client’s fundus is not an appropriate action for a nurse to take when a client is hypotensive following the administration of epidural anesthesia.
Choice C rationale
Turning the client to a side-lying position is a recommended intervention for hypotension following epidural anesthesia. This position helps improve venous return to the heart and can help alleviate hypotension by reducing aortocaval compression.
Choice D rationale
Assisting the client to empty their bladder may be beneficial in certain circumstances, but it is not the primary action a nurse should take when a client is hypotensive following the administration of epidural anesthesia.

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A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which statement by a parent indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

“A nurse is caring for a patient who is at 36 weeks of gestation and has a confirmed intrauterine fetal demise. Which of the following treatment options should the nurse anticipate the provider to discuss with the patient?”

Correct Answer is A

Explanation

A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which action should the nurse take?

Correct Answer is C

Explanation

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