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

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

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

"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."

Answer and Explanation

The Correct Answer is A

A. Positioning the car seat at a 45-degree angle helps to ensure that the baby's airway remains open and reduces the risk of slumping, which can lead to suffocation. This positioning is essential for newborns who may have limited head and neck control.

B. A car seat challenge test is typically performed for preterm infants or those with specific health concerns, not for all newborns. Newborns delivered at 38 weeks generally do not require this test unless there are other complications.

C. Car seat safety guidelines recommend that infants remain in a rear-facing position until at least 2 years of age, not just until they turn 1 year old. This statement does not demonstrate an understanding of current safety recommendations.

D. While sleep sacks can help keep a baby warm, they should not be used in a way that compromises the harness system of the car seat. It’s crucial to ensure that the baby is snugly secured in the car seat without any additional bulky clothing or blankets that could interfere with the safety harness.

In summary, the correct understanding is that the car seat should be positioned at a 45-degree angle for optimal safety.

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Correct Answer is B

Explanation

Rationale:

A. A blood pressure of 120/70 mm Hg is within the normal range for a postpartum client and does not require immediate reporting to the provider.

B. Cool clammy skin may indicate hypoperfusion or inadequate blood flow, which could be a sign of hemorrhage or other circulatory issues. This finding should be reported promptly for further evaluation and intervention.

C. Moderate lochia serosa is a normal finding in the early postpartum period and does not typically require immediate reporting.

D. A heart rate of 89/min is within the normal range for a postpartum client and does not require immediate reporting to the provider.

A. Position the client supine with knees flexed and place a small rolled towel under one of their hips. B. Palpate the fetal part positioned in the fundus. C. Instruct the client to empty their bladder. D. Palpate the fetal parts along both sides of the uterus. E. Palpate the fetal part positioned above the symphysis pubis.

Correct Answer is C,A,B,D,E

Explanation

C. Instruct the client to empty their bladder.

A. Position the client supine with knees flexed and place a small rolled towel under one of their hips.
B. Palpate the fetal part positioned in the fundus.

D. Palpate the fetal parts along both sides of the uterus.

E. Palpate the fetal part positioned above the symphysis pubis.

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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 of the following statements by a parent indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?

Correct Answer is B

Explanation

31. A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps)

Correct Answer is C,A,B,D,E

Explanation

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