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 C
Explanation
Choice A rationale
Encouraging play exercises in the evening can lead to overstimulation, which can make it harder for the toddler to fall asleep. Physical activity should generally be done earlier in the day to help with sleep later on.
Choice B rationale
Turning off the room light can create a dark environment conducive to sleep, but it doesn’t address the need for a calming routine, which is essential for young children’s sleep. Some children also feel safer with a nightlight.
Choice C rationale
Providing bedtime rituals can help signal to the toddler that it is time to wind down and sleep. Consistent rituals, such as reading a story or singing a lullaby, provide a sense of security and comfort.
Choice D rationale
Explaining the source of the toddler’s fears may be beyond the cognitive ability of a toddler and does not directly promote sleep. It’s better to provide comfort and reassurance through routine.
Correct Answer is C
Explanation
Choice A rationale
The absence of creases on the plantar surface is typical of a preterm infant, not a term infant. Term infants usually have some creases.
Choice B rationale
Abundant lanugo is more common in preterm infants, while term infants may have some but not extensive lanugo.
Choice C rationale
A flexed position at rest is expected in a term neonate, as it indicates good muscle tone and neuromuscular development.
Choice D rationale
The pinna of the ear remaining folded is more indicative of a preterm infant, as term infants typically have fully formed and firmer ear cartilage.