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?

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

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

"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."

Answer and Explanation

The Correct Answer is D

Explanation.

Choice A Reason:

"My baby will need a car seat challenge test before discharge." This statement is inappropriate. While some preterm infants may require a car seat challenge test before discharge to assess their cardiorespiratory stability while seated in a car seat, this is not a universal requirement for all newborns. The need for a car seat challenge test depends on the infant's gestational age, medical condition, and hospital policies.

Choice B Reason:

"I can use a sleep sack to keep my baby warm in the car seat." This statement is inappropriate. Using a sleep sack or any other bulky clothing or accessories in the car seat is not recommended as it can interfere with the proper harness fit and compromise the safety of the baby. Bulky clothing can compress in a crash, creating space between the baby and the harness, increasing the risk of ejection or injury.

Choice C Reason:

"When my baby is 1 year old, I can turn their car seat facing forward." This statement is inappropriate. Turning the car seat forward-facing at 1 year of age is an outdated guideline. Current recommendations from the American Academy of Pediatrics (AAP) advise keeping infants in rear-facing car seats until they reach the maximum weight or height limit recommended by the car seat manufacturer, which is typically around 2 years of age or older. Rear-facing car seats provide better protection for the baby's head, neck, and spine in the event of a crash compared to forward-facing seats.

Choice D Reason:

"The car seat should be positioned in the car at a 45-degree angle." This statement is appropriate. Positioning the car seat at a 45-degree angle is recommended for newborns and young infants. This angle helps keep the baby's airway open and prevents their head from flopping forward, reducing the risk of breathing difficulties and oxygen desaturation.

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Correct Answer is A

Explanation

Choice A Reason:

Breast tenderness is correct. Clomiphene citrate is a medication commonly used to induce ovulation in women experiencing infertility. When teaching a client about this medication, it's important to include information about potential adverse effects. Breast tenderness is a common adverse effect of clomiphene citrate. This is due to the medication's estrogenic effects, which can cause breast tissue to become swollen and tender.

Choice B Reason:

Tinnitus, or ringing in the ears, is not a commonly reported adverse effect of clomiphene citrate. This symptom is more commonly associated with medications that affect the auditory system or have ototoxic properties.

Choice C Reason:

Urinary frequency is not a commonly reported adverse effect of clomiphene citrate. While hormonal medications like clomiphene citrate can sometimes affect the genitourinary system, urinary frequency is not typically listed as a significant adverse effect.

Choice D Reason:

Chills are not commonly associated with clomiphene citrate use. While some individuals may experience flu-like symptoms as a side effect of hormonal medications, chills are not typically listed as a significant adverse effect of clomiphene citrate.

A. May 13 B. May 20 C. May 17 D. May 3

Correct Answer is C

Explanation

To calculate the estimated date of delivery using Angele’s Rule, you start with the first day of the last menstrual period (LMP), subtract three months, and then add seven days.

For this client:

First day of last menstrual period (LMP): August 10

Subtract three months: August - 3 months = May

Add seven days: May + 7 days = May 17

So, the client's estimated date of delivery is May 17.

Therefore, the correct answer is:

C. May 17

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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 teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?

Correct Answer is A

Explanation

A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Angele’s Rule, which of the following is the client's estimated date of delivery?

Correct Answer is C

Explanation

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