A nurse is reinforcing teaching with new parents on the proper way to use an infant car seat.
Which of the following statements by the parents should indicate to the nurse a need for further teaching?
"I will place the infant safety seat in the middle of the back seat away from the windows.”.
"We will need to go by the weight and height of our child when deciding to change to a booster seat.”.
"My baby will be comforted in the back seat by being able to watch me while I drive.”.
"My husband refuses to use a previously owned car seat unless it has the instructions.”. .
The Correct Answer is C
Choice A rationale
Placing the infant safety seat in the middle of the back seat away from the windows is the safest position, protecting the child from potential impact during accidents and from direct
sunlight or objects coming through windows.
Choice B rationale
Following the child's weight and height is crucial for safely transitioning from an infant car seat to a booster seat. This ensures proper restraint and protection as the child grows.
Choice C rationale
Allowing a baby to watch the driver while in the back seat indicates a forward-facing position, which is unsafe for infants. Rear-facing positions provide the best protection for an
infant's head, neck, and spine.
Choice D rationale
Using a previously owned car seat with intact instructions can ensure proper installation and use. However, checking the seat's history and condition is crucial to ensure it meets
current safety standards.
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Correct Answer is A
Explanation
Choice A rationale
The hepatitis B vaccine is recommended for all newborns within 24 hours of birth to provide early protection against the hepatitis B virus.
Choice B rationale
The PCV (Pneumococcal Conjugate Vaccine) is administered as a series of four doses, typically at 2, 4, 6, and 12-15 months of age.
Choice C rationale
The first dose of the DTaP (Diphtheria, Tetanus, and Pertussis) vaccine is typically given at 2 months of age, not during the initial well-baby visit after birth.
Choice D rationale
The MMR (Measles, Mumps, and Rubella) vaccine is recommended at 12-15 months of age and again at 4-6 years, not at 6 months.
Correct Answer is D
Explanation
Choice A rationale
Boys are generally screened for scoliosis at a later age than girls due to different growth patterns and timelines in puberty. Girls typically go through growth spurts earlier, which can reveal scoliosis sooner.
Choice B rationale
Scoliosis is not associated with childhood trauma. It's primarily idiopathic, meaning its cause is unknown, though genetics and growth factors are considered.
Choice C rationale
Children with scoliosis often do not report back pain. The condition is usually detected through physical exams or screenings rather than symptoms like pain.
Choice D rationale
The Adam's forward bend test is a common method for screening scoliosis, which involves the child bending forward at the waist with arms hanging down. This position highlights any abnormal curvature of the spine.