A nurse is teaching the guardian of a 1-month-old infant about infant safety. Which of the following information should the nurse include in the teaching?
Place a small, folded blanket behind the baby's neck to provide support while in the car seat.
Anchor the car seat in a rear-facing position in the back seat of the vehicle.
Ensure the water heater temperature is set to no more than 54° C (129.2° F
Cover the baby with a cotton blanket when they are asleep.
The Correct Answer is B
A. Place a small, folded blanket behind the baby's neck to provide support while in the car seat. Adding extra padding behind the infant’s neck is not recommended, as it can alter the positioning and compromise the safety design of the car seat. Only manufacturer-approved inserts should be used.
B. Anchor the car seat in a rear-facing position in the back seat of the vehicle. Infants under the age of 2 should always be placed in a rear-facing car seat in the back seat. This position offers the best protection for the infant’s head, neck, and spine in the event of a crash.
C. Ensure the water heater temperature is set to no more than 54° C (129.2° F). This temperature is too high and increases the risk of scalding. The recommended maximum temperature for a household water heater is 49° C (120° F) to ensure infant safety.
D. Cover the baby with a cotton blanket when they are asleep. Using loose bedding, including blankets, increases the risk of sudden infant death syndrome (SIDS). Instead, the infant should sleep in a wearable blanket or sleep sack on a firm mattress without soft items.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Widening pulse pressure. This is typically associated with conditions like increased intracranial pressure or severe aortic regurgitation, not cardiac tamponade. Tamponade usually results in narrowed pulse pressure.
B. Coarse lung sounds. These may indicate fluid overload or pulmonary congestion, but they are not specific to cardiac tamponade and occur later or in different conditions.
C. Muffled heart sounds. This is a classic early sign of cardiac tamponade, caused by fluid accumulation in the pericardial sac, which dampens heart sounds on auscultation. It is part of Beck’s triad (muffled heart sounds, hypotension, and jugular vein distention).
D. Decreased jugular vein distention. In cardiac tamponade, jugular vein distention increases due to impaired venous return to the heart. Decreased JVD would be an unexpected finding in this condition.
Correct Answer is D
Explanation
A. "After 5 to 10 minutes when the breast is emptied, my baby should be removed from the breast." The breast is rarely fully emptied during a feeding. Infants should be allowed to feed on one side until they naturally release it, ensuring they receive the nutrient-rich hindmilk.
B. "Manually expressing my milk will decrease my milk supply." Manual expression, like breastfeeding, stimulates milk production. Regularly removing milk from the breasts actually helps maintain or increase supply, especially during periods of engorgement or separation.
C. “My baby should always start on the same breast when feeding.” Alternating the starting breast with each feeding ensures even stimulation and drainage of both breasts. Always starting on the same side could lead to engorgement or reduced supply in the unused breast.
D. “The more my baby is at the breast sucking the more milk I will produce.” Breast milk production is based on a supply and demand mechanism. The more frequently and effectively the baby nurses, the more milk the body is signaled to produce.
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