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 C
Explanation
Choice A rationale
Allowing an additional 30 minutes of play before bedtime can lead to overstimulation and delay the child's ability to settle down for sleep. Consistent bedtime routines are crucial for
establishing healthy sleep patterns in children.
Choice B rationale
Letting the child sleep in the parent's bed can create dependency and difficulty in establishing the child's own sleep routine and space. This practice can disrupt both the parent's and
child's sleep in the long term.
Choice C rationale
Keeping a night light on provides a sense of security and comfort for a child who may be afraid of the dark. This helps the child feel safe and can ease the transition to bedtime.
Choice D rationale
Staying with the child until they fall asleep, especially if crying, can reinforce the behavior and make it harder for the child to develop self-soothing skills. It can lead to increased
dependency on the parent's presence to fall asleep.
Correct Answer is C
Explanation
Choice A rationale
Performing ROM exercises can cause stress on the infant's developing bones and muscles and is not the priority for spina bifida.
Choice B rationale
Feeding through an NG tube is not necessary unless the infant has feeding difficulties related to spina bifida.
Choice C rationale
Placing the infant in a prone position prevents pressure on the lesion, reducing the risk of injury and infection.
Choice D rationale
Covering the lesion with a dry cloth can cause the area to dry out and is not recommended; sterile, moist dressings are preferred.