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?
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.
When my baby is 1 year old, I can turn their car seat facing forward.
The car seat should be positioned in the car at a 45-degree angle.
The Correct Answer is D
Choice A rationale
While a sleep sack can keep a baby warm, it should not be used in a car seat because it can interfere with the harness and affect its effectiveness.
Choice B rationale
A car seat challenge test is usually performed on premature babies or those with medical conditions. It is not routinely required for a newborn delivered at 38 weeks of gestation.
Choice C rationale
The American Academy of Pediatrics recommends that children remain in a rear-facing car seat until they reach the highest weight or height allowed by their car safety seat’s manufacturer, which is typically around 2 years of age.
Choice D rationale
The car seat should indeed be positioned at a 45-degree angle. This position helps to keep the baby’s airway open and protects them in the event of a crash.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Bumper pads are not recommended for use in a baby’s crib. They pose a risk of suffocation, strangulation, and entrapment.
Choice B rationale
Bathing a baby immediately after a feeding is not recommended. It can cause discomfort and increase the likelihood of spitting up. It’s better to wait at least 30 minutes after a feeding before bathing the baby.
Choice C rationale
Washing a baby’s face with plain water is recommended. Babies have sensitive skin, and plain water is the gentlest option. Soap can dry out their skin and cause irritation.
Choice D rationale
A soft mattress in a baby’s crib is not recommended. It increases the risk of sudden infant death syndrome (SIDS). A firm mattress is safer.
Correct Answer is ["A","C","D","F","G","H"]
Explanation
Choice A rationale: A positive Coombs test indicates that the newborn has antibodies against his own red blood cells, which can lead to hemolytic disease of the newborn. This condition can cause severe anemia and jaundice, which can lead to complications such as kernicterus if not treated promptly.
Choice B rationale: The newborn’s glucose level is within the normal range (40 to 60 mg/dL), so this finding does not require immediate follow-up.
Choice C rationale: The yellow color of the sclera indicates jaundice, which can be a sign of hyperbilirubinemia. This condition can lead to complications such as kernicterus if bilirubin levels become too high.
Choice D rationale: The absence of meconium stool in a 36-hour-old newborn is unusual, as most newborns pass meconium within the first 24 to 48 hours after birth. This could indicate a problem such as meconium ileus or Hirschsprung disease, which would require further evaluation.
Choice E rationale: The head assessment finding of caput succedaneum is a common and typically harmless condition in newborns caused by pressure on the head during delivery. It does not require immediate follow-up.
Choice F rationale: The newborn’s heart rate is slightly elevated (normal range for a newborn is 120-160 beats per minute). This could be a response to factors such as fever, pain, or distress, and should be reported to the provider.
Choice G rationale: The newborn’s respiratory rate is also elevated (normal range for a newborn is 30-60 breaths per minute). This could be a sign of respiratory distress and should be reported to the provider.
Choice H rationale: Dry mucous membranes can be a sign of dehydration, which can occur if the newborn is not feeding well or is losing too much fluid, for example, through excessive sweating due to fever. This should be reported to the provider.
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