A nurse is assisting in the discharge planning of a postpartum client.
Which of the following teaching points about car seat safety should the nurse reinforce in the teaching?
Car seats should not be purchased used as history is unknown.
The chest clip should be at the infant's shoulder level.
Infants should wear coats when in their car seats in cold weather.
Infant car seats should be turned forward-facing at the infant's first birthday.
The Correct Answer is A
Choice A rationale
Car seats should not be purchased used as their history is unknown. There might be unseen damages or recalls that could compromise the safety of the infant.
Choice B rationale
The chest clip should be at the infant's armpit level, not shoulder level. Incorrect positioning can affect the restraint system's efficiency.
Choice C rationale
Infants should not wear coats in their car seats because bulky clothing can prevent the harness from fitting snugly, reducing its effectiveness in a crash.
Choice D rationale
Infant car seats should remain rear-facing until at least the age of 2 or until they reach the maximum weight/height limit of the seat, not turn forward-facing at the first birthday.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A longitudinal fetal lie, where the baby is aligned vertically with the mother’s spine, is the normal and optimal position for labor. It typically does not cause prolonged or difficult labor.
Choice B rationale
A gynecoid pelvis is considered the most favorable pelvic shape for vaginal delivery. It is roomy and allows for the easiest passage of the baby through the birth canal, reducing the likelihood of prolonged labor.
Choice C rationale
General flexion, where the baby’s chin is tucked to its chest and the limbs are flexed, is the optimal fetal attitude for birth. This position facilitates a smoother and shorter labor process.
Choice D rationale
Persistent occiput posterior (OP) position, where the baby’s head is down but facing the mother’s front, can result in a difficult and prolonged labor. This position often leads to severe back pain for the mother and may complicate the labor process.
Correct Answer is B
Explanation
Choice A rationale
A fever following surgery is not normal and can indicate an infection; hence, this is not a correct statement.
Choice B rationale
Reporting heavy vaginal bleeding to the doctor is appropriate as it can indicate complications such as infection or retained tissue following a molar pregnancy surgery.
Choice C rationale
It is advised to avoid pregnancy for a period after molar pregnancy to ensure hCG levels return to normal and to monitor for gestational trophoblastic disease.
Choice D rationale
Follow-up visits with the provider are crucial after a molar pregnancy to monitor hCG levels and ensure no complications arise, so delaying visits until pregnancy is incorrect.
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