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. Pulse rate is increased.

While there may be variations in pulse rate due to factors such as activity level and emotional state, a significant increase in pulse rate would not be a typical finding during an annual check- up for an 8-year-old child.

B. Breathing is diaphragmatic.

As children grow older, their respiratory patterns mature, and they develop diaphragmatic breathing, which is deeper and more efficient than the shallow breathing observed in infants. This change would be expected as the child gets older.

C. Secondary sex characteristics are present.

The development of secondary sex characteristics typically occurs during puberty, which begins around the ages of 9 to 13 in girls and 10 to 14 in boys. At 8 years old, it would be unlikely for significant secondary sex characteristics to be present.

D. Blood pressure has reached adult level.

Blood pressure in children gradually increases with age, but it does not reach adult levels until adolescence. At 8 years old, the child's blood pressure would still be within the pediatric range and would not resemble adult levels.

A. 1 cup cooked rice B. 1 cup ready-to-eat cereal flakes C. 1/2 slice whole wheat bread D. 1 1/2 flour tortilla

Correct Answer is B

Explanation

A. 1 cup of cooked rice is equivalent to 2 oz of grains, which is double the recommended amount.

B. 1 cup of ready-to-eat cereal flakes is equivalent to 1 oz of grains, which meets the recommendation precisely.

C. 1?2 slice of whole wheat bread is equivalent to 0.5 oz of grains, which is half the recommended amount.

D. 11?2 flour tortilla is equivalent to 3 oz of grains, which is triple the recommended amount.

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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?

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