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A nurse is teaching the parent of an infant about car seat safety. Which of the following instructions should the nurse include?

A.

"Fasten the harness over your infant's winter coat."

B.

"Pad the backrest of the car seat with a thick blanket before securing your infant."

C.

"Keep the car seat in a rear-facing position until your infant is 2 years old."

D.

"Ensure the airbag is activated if the car seat is in the front passenger seat."

Answer and Explanation

The Correct Answer is C

A. "Fasten the harness over your infant's winter coat.": Harnessing over bulky clothing prevents the straps from fitting snugly, increasing the risk of injury in a crash. Infants should be secured without bulky coats, using a blanket over the harness if warmth is needed.

B. "Pad the backrest of the car seat with a thick blanket before securing your infant.": Adding padding can interfere with the proper positioning and safety design of the car seat. Only manufacturer-approved inserts should be used to maintain safety standards.

C. "Keep the car seat in a rear-facing position until your infant is 2 years old.": The rear-facing position offers the best protection for the infant’s head, neck, and spine in a collision. Safety guidelines recommend rear-facing until at least age 2, or until the child outgrows the seat’s height and weight limits.

D. "Ensure the airbag is activated if the car seat is in the front passenger seat.": Infants should never be placed in a front seat with an active airbag, as deployment can cause fatal injuries. Car seats should always be secured in the back seat whenever possible.


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Related Questions

Correct Answer is B

Explanation

A. "Place your nonwashable items in sealed plastic bags for up to 5 days.": Items should be sealed in plastic bags for at least 14 days because mites can survive off the host for several days. Five days is insufficient to ensure eradication of mites and eggs.

B. "Any person who has been in close contact with the child needs treatment.": Scabies spreads through prolonged close contact, so all household members and close contacts should be treated simultaneously. This prevents reinfestation and ensures effective eradication.

C. "Your entire home will need to be thoroughly cleaned.": Scabies does not require intensive home cleaning like lice or bedbugs. Washing bedding, clothing, and towels in hot water and drying on high heat is sufficient to kill mites.

D. "You will need to give your child a course of corticosteroids.": Corticosteroids are not used to treat scabies. The primary treatment is permethrin cream or another prescribed scabicide. Corticosteroids would not eliminate the mites and could worsen the condition.

Correct Answer is D

Explanation

A. "The obstruction will be treated with a medication called indomethacin.": Indomethacin is used to close a patent ductus arteriosus, not to correct coarctation of the aorta. In fact, for coarctation, maintaining ductal patency with prostaglandin E may be necessary until surgery is performed.

B. "The cardiologist will monitor your infant closely until they are able to receive treatment with a heart transplant.": Heart transplant is not the standard treatment for coarctation of the aorta. Most infants undergo surgical or catheter-based interventions, which are effective.

C. "Most cases resolve spontaneously without treatment by 12 months of age.": Coarctation of the aorta does not resolve on its own. Without treatment, it can lead to severe complications such as heart failure, hypertension, or even death, making timely intervention critical.

D. "Surgical repair is the recommended treatment for infants younger than 6 months old.": Surgical repair is the treatment of choice for significant coarctation in infants, especially those younger than 6 months, to relieve obstruction and prevent complications such as left ventricular dysfunction and poor systemic perfusion.

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