A nurse is reinforcing teaching about car seat safety with a parent of a newborn.Which of the following statements by the parent indicates an understanding of the teaching?
“I will place the retainer clip at the level of my baby’s armpits.”.
“I should place my baby in the car seat at a 90-degree angle.”.
“I can turn the car seat so it faces forward when my baby weighs 15 pounds.”.
“I will place a thick, soft pad behind my baby’s back.”.
The Correct Answer is A
Choice A rationale
Placing the retainer clip at the level of the baby’s armpits is the correct position for the clip. This ensures that the harness straps are positioned correctly over the baby’s shoulders, providing optimal protection in the event of a crash.
Choice B rationale
Placing the baby in the car seat at a 90-degree angle is incorrect. Newborns should be placed in a rear-facing car seat at an angle of approximately 45 degrees to ensure their airway remains open and to provide proper support for their head and neck.
Choice C rationale
Turning the car seat to face forward when the baby weighs 15 pounds is not recommended. Babies should remain in a rear-facing car seat until they reach the maximum weight or height limit specified by the car seat manufacturer, typically around 2 years of age.
Choice D rationale
Placing a thick, soft pad behind the baby’s back is not recommended. Additional padding can interfere with the proper fit of the harness and reduce the effectiveness of the car seat in protecting the baby during a crash.
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Correct Answer is B
Explanation
Choice A rationale
Pain in the upper right abdomen is not a typical sign of preterm labor. Preterm labor symptoms include regular contractions, lower back pain, and pelvic pressure.
Choice B rationale
Contractions occurring more frequently than every 10 minutes can indicate preterm labor. Regular contractions are a key sign of preterm labor.
Choice C rationale
While iron supplements are important during pregnancy, they do not prevent preterm labor. Preterm labor is influenced by various factors, including infections and uterine abnormalities.
Choice D rationale
Walking typically does not stop contractions associated with preterm labor. In fact, activity can sometimes exacerbate contractions.
Correct Answer is A
Explanation
Choice A rationale
Oral contraceptives decrease the risk for endometrial cancer by regulating the menstrual cycle and reducing the frequency of ovulation, which lowers the exposure of the endometrium to estrogen.
Choice B rationale
Combined estrogen-progestin contraceptive pills typically shorten and lighten menstrual periods, rather than causing longer periods.
Choice C rationale
Medroxyprogesterone acetate injections are administered every three months, not once per month.
Choice D rationale
Diaphragms need to be replaced every 1-2 years, not every 4 years, to ensure proper fit and effectiveness.