A nurse is teaching car seat safety to a parent of an infant who weighs 4.5 kg (10 lb). Which of the following car seat positions should the nurse include in the teaching?

Forward-facing in the front passenger seat

Rear-facing in the back seat next to a window

Rear-facing in the middle of the back seat

Forward-facing in the back seat

Answer and Explanation

The Correct Answer is C

A. Forward-facing in the front passenger seat: This position is not suitable for an infant. Infants should always be placed in a rear-facing car seat in the back seat of the vehicle to reduce the risk of injury in the event of a crash.

B. Rear-facing in the back seat next to a window: Placing an infant next to a window increases the risk for injury. The safest position for a car seat is in the center of the back seat

C. Rear-facing in the middle of the back seat: Although the manufacturer of the car seat will provide specifics regarding use, a child should remain in a rear-facing car seat until age 2 or until the child outgrows the height or weight limits of a rear-facing seat

D. Forward-facing in the back seat: Forward-facing car seats are appropriate for older children, typically after they have outgrown rear-facing car seats based on height and weight requirements.

Infants should always ride in a rear-facing car seat until they reach the maximum weight or height limit specified by the car seat manufacturer.

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Correct Answer is B

Explanation

A. Wash the hands and breasts thoroughly prior to breastfeeding: While hand hygiene is

important, washing the breasts thoroughly before breastfeeding is not recommended as it can remove natural oils that protect the skin and may cause irritation.

B. Bring the baby's wide-open mouth to the breast to form a seal around all of the nipple and areolA. This is a recommended guideline for proper latching during breastfeeding. Ensuring that the baby's mouth covers both the nipple and the surrounding areola helps to facilitate effective milk transfer and prevents nipple pain or damage.

C. When finished, the mother can break the suction by firmly pulling the baby's mouth away from the nipplE. Breaking the suction by pulling the baby's mouth away can cause nipple

trauma. Instead, it's recommended to insert a clean finger into the corner of the baby's mouth to break the suction before removing the baby from the breast.

D. Stroke the nipple against the baby's chin to stimulate wide opening of the baby's mouth: This action may not effectively stimulate the baby to open wide and latch properly. It's better to use gentle pressure on the baby's chin or lower lip to encourage a wider latch

A. At the beginning B. Before auscultating the chest and abdomen C. Before examining the head and neck D. At the end

Correct Answer is D

Explanation

A. At the beginning: It is not necessary to examine the tympanic membrane at the very beginning of the physical examination.

B. Before auscultating the chest and abdomen: While the tympanic membrane examination may precede auscultation of the chest and abdomen, it is not typically performed before all other components of the physical examination.

C. Before examining the head and neck: Examination of the tympanic membrane is usually part of the head and neck assessment, so it would not occur before examining these areas.

D. At the enD. Examination of the tympanic membrane is typically performed towards the end of the physical examination, after other components such as inspection, palpation, and auscultation have been completed. This sequence allows the nurse to maintain the flow of the examination and ensures a thorough assessment of all body systems.

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A nurse is teaching car seat safety to a parent of an infant who weighs 4.5 kg (10 lb). Which of the following car seat positions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is D

Explanation

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