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
Social interaction is essential for development and can enhance emotional and psychological well-being. Isolation can negatively affect the child.
Choice B rationale
Restricting physical activity is counterproductive. Physical activity should be encouraged within safe limits to promote strength and coordination.
Choice C rationale
Encouraging independence and self-care skills helps the child develop autonomy and confidence, essential for managing daily activities and improving quality of life.
Choice D rationale
Promoting a sedentary lifestyle is detrimental to health. Physical activity and engagement in activities enhance physical and mental well-being.
Correct Answer is A
Explanation
Choice A rationale
It's normal for an 8-month-old child to exhibit separation anxiety when their parents leave. This stage of development typically begins around 6 to 8 months of age and can peak around 14 to 18 months. It is a sign that the child has developed a strong attachment to their parents and understands the concept of object permanence—that objects and people continue to exist even when they are not visible.
Choice B rationale
While rest is important for an infant, this statement does not address the underlying issue of separation anxiety. It implies that the child's crying is due to fatigue, which can be misleading to the parents.
Choice C rationale
An overstimulating environment can cause distress in infants, but in this case, the crying is more directly related to separation anxiety. It's essential to differentiate between the two causes so that parents can respond appropriately.
Choice D rationale
Notifying a provider is unnecessary for typical separation anxiety. This response could unnecessarily alarm the parents and does not educate them on the normalcy of this developmental phase.