A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?

"The car seat should be positioned in the car at a 45-degree angle."

"My baby will need a car seat challenge test before discharge."

"When my baby is 1 year old, I can turn their car seat facing forward."

"I can use a sleep sack to keep my baby warm in the car seat."

Answer and Explanation

The Correct Answer is A

A. Positioning the car seat at a 45-degree angle helps to ensure that the baby's airway remains open and reduces the risk of slumping, which can lead to suffocation. This positioning is essential for newborns who may have limited head and neck control.

B. A car seat challenge test is typically performed for preterm infants or those with specific health concerns, not for all newborns. Newborns delivered at 38 weeks generally do not require this test unless there are other complications.

C. Car seat safety guidelines recommend that infants remain in a rear-facing position until at least 2 years of age, not just until they turn 1 year old. This statement does not demonstrate an understanding of current safety recommendations.

D. While sleep sacks can help keep a baby warm, they should not be used in a way that compromises the harness system of the car seat. It’s crucial to ensure that the baby is snugly secured in the car seat without any additional bulky clothing or blankets that could interfere with the safety harness.

In summary, the correct understanding is that the car seat should be positioned at a 45-degree angle for optimal safety.

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Correct Answer is A

Explanation

Rationale:

A. Excessive crying:

Correct answer. Neonatal abstinence syndrome (NAS) often presents with irritability, inconsolable crying, and difficulty soothing.

B. Decreased muscle tone: NAS can cause hypertonia or increased muscle tone rather than decreased muscle tone.

C. Absent Moro reflex: NAS may cause hyperactive Moro reflex rather than absent.

D. Diminished deep tendon reflexes: NAS can cause hyperactive deep tendon reflexes rather than diminished.

A. Assist the client in pulling their knees toward their abdomen. B. Apply pressure to the client's fundus. C. Press firmly on the client's suprapubic area. D. Move the client onto their hands and knees.

Correct Answer is A

Explanation

Rationale:

A. The McRoberts maneuver involves flexing the mother's thighs onto her abdomen to straighten the pelvis and allow for easier passage of the baby's shoulder. This action helps to widen the pelvic outlet and facilitate delivery.

B. Applying pressure to the client's fundus is not part of the McRoberts maneuver. Fundal pressure may be used in other techniques to manage shoulder dystocia, such as the Rubin maneuver or Woods' screw maneuver.

C. Pressing firmly on the client's suprapubic area is not part of the McRoberts maneuver. This action may be performed in conjunction with other maneuvers to help dislodge the impacted shoulder.

D. Moving the client onto their hands and knees is not part of the McRoberts maneuver. This position, known as the Gaskin maneuver, may be used as an alternative maneuver to alleviate shoulder dystocia by changing the orientation of the pelvis.

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A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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