A nurse is teaching car seat safety to a parent of an infant who weighs 4.5 kg (10 lb). Which of the following car seat positions should the nurse include in the teaching?

Forward-facing in the front passenger seat

Rear-facing in the back seat next to a window

Rear-facing in the middle of the back seat

Forward-facing in the back seat

Answer and Explanation

The Correct Answer is C

A. Forward-facing in the front passenger seat: This position is not suitable for an infant. Infants should always be placed in a rear-facing car seat in the back seat of the vehicle to reduce the risk of injury in the event of a crash.

B. Rear-facing in the back seat next to a window: Placing an infant next to a window increases the risk for injury. The safest position for a car seat is in the center of the back seat

C. Rear-facing in the middle of the back seat: Although the manufacturer of the car seat will provide specifics regarding use, a child should remain in a rear-facing car seat until age 2 or until the child outgrows the height or weight limits of a rear-facing seat

D. Forward-facing in the back seat: Forward-facing car seats are appropriate for older children, typically after they have outgrown rear-facing car seats based on height and weight requirements.

Infants should always ride in a rear-facing car seat until they reach the maximum weight or height limit specified by the car seat manufacturer.

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Correct Answer is B

Explanation

A. "This is normal behavior for infants unless the stool passed is black or green.": While black or green stools may indicate potential issues, grunting and crying during bowel movements are common behaviors in infants and are not necessarily indicative of a problem.

B. "This is normal behavior for infants due to the immaturity of the gastrointestinal system.": Grunting and crying during bowel movements are typical behaviors in infants, especially during the first few months of life. This is because the infant's gastrointestinal system is still developing and they may have difficulty coordinating their muscles to pass stool smoothly.

C. "This is normal behavior for infants unless the stool passed is hard and dry.": While hard and dry stools may indicate constipation, grunting and crying during bowel movements can still be normal behaviors in infants, regardless of the consistency of the stool.

D. "This indicates a blockage in the intestine and must be reported to the health care provider.": Grunting and crying during bowel movements are not necessarily indicative of a blockage in the intestine. These behaviors are common in infants and usually resolve as the infant's gastrointestinal system matures.

A. Congenital anomalies B. Respiratory distress C. Low birth weight D. Sudden infant death syndrome

Correct Answer is D

Explanation

A. Congenital anomalies: While congenital anomalies can contribute to infant mortality, they are not the leading cause of death among infants.

B. Respiratory distress: Respiratory distress can be a significant concern in newborns, especially premature infants, but it is not the leading cause of death among infants overall.

C. Low birth weight: Low birth weight is a risk factor for various health complications in infants, but it is not the leading cause of death among infants.

D. Sudden infant death syndrome (SIDS): SIDS is the sudden and unexplained death of an otherwise healthy infant, typically during sleep. It is the leading cause of death among infants aged 1 month to 1 year, making it an essential consideration in health promotion and education efforts for parents.

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A nurse is teaching car seat safety to a parent of an infant who weighs 4.5 kg (10 lb). Which of the following car seat positions should the nurse include in the teaching?

Nursing Test Bank

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Correct Answer is D

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