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?
I can use a sleep sack to keep my baby warm in the car seat.
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.
The car seat should be positioned in the car at a 45-degree angle.
The Correct Answer is D
Choice A rationale
While a sleep sack can keep a baby warm, it should not be used in a car seat because it can interfere with the harness and affect its effectiveness.
Choice B rationale
A car seat challenge test is usually performed on premature babies or those with medical conditions. It is not routinely required for a newborn delivered at 38 weeks of gestation.
Choice C rationale
The American Academy of Pediatrics recommends that children remain in a rear-facing car seat until they reach the highest weight or height allowed by their car safety seat’s manufacturer, which is typically around 2 years of age.
Choice D rationale
The car seat should indeed be positioned at a 45-degree angle. This position helps to keep the baby’s airway open and protects them in the event of a crash.
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Correct Answer is B
Explanation
Choice A rationale
Applying firm pressure on the client’s suprapubic area is not part of the McRoberts maneuver. This action is more associated with the suprapubic pressure technique, which is another method used to manage shoulder dystocia.
Choice B rationale
The McRoberts maneuver involves having the client flex her hips against her abdomen. This is achieved by assisting the client in pulling her knees toward her abdomen.
Choice C rationale
Applying pressure to the client’s fundus is not part of the McRoberts maneuver and can be contraindicated as it may cause additional complications.
Choice D rationale
Moving the client onto their hands and knees is not part of the McRoberts maneuver. This position is more associated with the all-fours maneuver, also known as the Gaskin maneuver.
Correct Answer is D
Explanation
Choice A rationale
Using a lubricant during intercourse can actually decrease the chances of conception. Some lubricants can affect the pH balance in the vagina, which can affect sperm motility and survival.
Choice B rationale
Taking daily hot baths is not recommended as a fertility treatment. In fact, frequent hot baths can negatively affect male fertility by increasing the temperature of the testes, which can reduce sperm count.
Choice C rationale
Drinking herbal tea two times daily is not a proven method to increase fertility. While some herbs are believed to have fertility-boosting properties, their effectiveness varies greatly and some can even be harmful. It’s important to consult with a healthcare provider before starting any new herbal regimen.
Choice D rationale
Maintaining a healthy weight can improve fertility. Both underweight and overweight conditions can lead to irregular menstrual cycles and ovulation, which can make it more difficult to conceive. A healthy weight can also reduce the risk of pregnancy complications
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