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 D
Explanation
Choice A rationale
Administering vitamin K is important but not the immediate priority right after birth.
Choice B rationale
Administering eye prophylaxis is also necessary but comes after ensuring the newborn is dry to prevent heat loss.
Choice C rationale
Placing an identification bracelet is crucial but not as immediate as drying the skin to regulate the baby's temperature.
Choice D rationale
Drying the skin is the priority to prevent hypothermia by reducing evaporative heat loss right after birth
Correct Answer is A
Explanation
Choice A rationale
This choice offers the toddler control and options within boundaries. By allowing the child to choose between two cups, it reduces the power struggle inherent in negativism, where the child often says "no" to assert independence.
Choice B rationale
This choice presents a direct option of now or later, which may still lead to refusal due to the toddler's negativism. Toddlers often respond better to choices that are less direct.
Choice C rationale
Asking if the child can take the medicine is likely to result in a "no" due to the nature of negativism at this developmental stage. It does not give the toddler a sense of control or choice.
Choice D rationale
Asking the child to be "good" places a moral judgment on taking the medicine, which is not developmentally appropriate and may lead to resistance.