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 D
Explanation
Choice A rationale
Autonomy vs. shame and doubt is the stage for toddlers, where children learn to assert their independence and autonomy. This stage doesn't apply to school-age children.
Choice B rationale
Identity vs. role confusion is the stage for adolescents, where they explore different roles and integrate them into their identity. This is beyond the scope of school-age children.
Choice C rationale
Initiative vs. guilt applies to preschool children, where they begin to assert power and control through directing play and other social interactions. School-age children have moved
past this stage.
Choice D rationale
Industry vs. inferiority is the stage for school-age children according to Erikson's theory. In this stage, children develop a sense of pride and competence in their skills and abilities
through school and social interactions.
Correct Answer is B
Explanation
Choice A rationale
Headache could indicate various conditions but is not immediately life-threatening post-surgery. It may be due to medication or anesthesia but is not the priority.
Choice B rationale
Altered level of consciousness (LOC) is a critical finding. It may indicate complications such as hemorrhage, fat embolism, or hypoxia, which require urgent assessment and intervention.
Choice C rationale
Muscle spasms can be a common symptom post-surgery due to pain or positioning. While they need management, they do not take precedence over LOC changes.
Choice D rationale
An oral temperature of 37.7°C is slightly elevated but not alarming. It may be due to the body's normal inflammatory response post-surgery.