The nurse is providing car seat safety education to the parent of an 18-month-old.
Which statement by the parent requires the nurse to re-educate them about this topic?
A child less than 24 months of age should be in a rear-facing car seat.
The chest buckle should be at the level of the child's nipple line.
A child is switched to a forward-facing car seat at 12 months.
The car seat should be placed in the back seat.
The Correct Answer is C
Choice A rationale
AAP guidelines recommend rear-facing car seats for children under 24 months due to superior protection in a collision.
Choice B rationale
The chest buckle should be at armpit level to prevent injury in case of a crash.
Choice C rationale
Switching to a forward-facing car seat at 12 months contradicts safety recommendations; the child should remain rear-facing until at least 2 years old.
Choice D rationale
Car seats should always be placed in the back seat to minimize risk from front airbags during collisions.
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Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Measles, mumps, rubella (MMR) vaccine is recommended for a 1-year-old child as it protects against these three highly contagious viral diseases. This vaccine is typically given in two doses, with the first dose administered at 12-15 months.
Choice B rationale
Tetanus, diphtheria, and pertussis (TDaP) vaccine is not typically given at 1 year of age. The primary series is given in infancy, and the TDaP booster is given at 4-6 years of age.
Choice C rationale
Inactivated polio virus (IPV) vaccine is part of the routine vaccination schedule for children. It protects against polio, a serious disease that can cause paralysis. The IPV vaccine is given in multiple doses, starting at 2 months of age.
Choice D rationale
Varicella (VAR) vaccine protects against chickenpox, a highly contagious disease. It is recommended for children at 12-15 months of age and is usually given in two doses.
Choice E rationale
Human papillomavirus (HPV) vaccine is not recommended for a 1-year-old child. It is typically given to preteens and teens to protect against HPV infections that can lead to cervical cancer and other diseases.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale
Serving food in small, halved, or quartered pieces can help prevent choking, which is a significant concern for infants and young children who are still developing their chewing and swallowing skills.
Choice B rationale
Ensuring the mattress fits snugly against the sides of the crib prevents the infant from getting trapped between the mattress and the crib sides, reducing the risk of suffocation or injury.
Choice C rationale
Child-proof locks on cabinet doors prevent infants from accessing hazardous substances or dangerous objects that could cause harm. This is a crucial aspect of home safety for young children.
Choice D rationale
Setting the water heater at 65°C (149°F) is not recommended because it is too hot and can cause burns. The water heater should be set at a maximum of 48°C (118°F) to prevent scalding injuries.
Choice E rationale
Never leaving a child unattended during bath time is essential to prevent drowning, which can occur quickly and silently. Close supervision is necessary to ensure the child’s safety in the water. .