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."
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 Turning the car seat forward-facing at 1 year of age is an outdated guideline.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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Explanation
Choice A Reason:
The newborn weighs less than 2.5 kg (5.5 lb). This is not a valid reason to delay the instillation of antibiotic ophthalmic ointment. Birth weight alone does not affect the timing of ointment administration.
Choice B Reason:
Instillation of eye medication can be delayed for
1 hour after birth to facilitate eye contact and parentnewborn attachment and bonding.
Choice C Reason:
Delaying treatment to wait for signs of infection could worsen the condition if present. Early intervention is crucial for preventing ophthalmia neonatorum.
Choice D Reason:
The newborn was delivered via cesarean birth. Delivery via cesarean section is not typically a reason to delay the instillation of antibiotic ophthalmic ointment. The risk of neonatal conjunctivitis from maternal infection remains, regardless of the mode of delivery.
Correct Answer is D
Explanation
Explanation
Choice A Reason:
"You didn't report any symptoms of GBS during your pregnancy." This response is incorrect because GBS infection in pregnant women often does not present with noticeable symptoms. Additionally, GBS screening is not based on symptoms but rather on the presence of the bacteria in the genital or gastrointestinal tract.
Choice B Reason:
"Your previous deliveries were all negative for GBS." This response is incorrect because GBS status can change between pregnancies. A negative result in previous pregnancies does not guarantee a negative result in subsequent pregnancies. Screening closer to the delivery date is necessary to determine the current GBS status.
Choice C Reason:
"There was no indication of GBS in your earlier prenatal testing." This response is incorrect because routine prenatal testing typically does not include GBS screening unless there are specific risk factors or symptoms present. GBS screening is specifically done closer to delivery to determine colonization status at that time.
Choice D Reason:
"We need to know if you are positive for GBS at the time of delivery." This response is appropriate. Group B streptococcus (GBS) screening is typically performed around the 35th to 37th week of pregnancy because colonization status can change over time. A negative result earlier in the pregnancy does not necessarily mean that the client will remain negative at the time of delivery. Therefore, it is essential to screen closer to delivery to determine if the client is colonized with GBS and if prophylactic measures are needed to reduce the risk of transmission to the newborn during labor and delivery.
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