A nurse is teaching the parent of an infant about car seat safety. Which of the following instructions should the nurse include?
"Keep the car seat in a rear-facing position until your infant is 2 years old."
"Fasten the harness over your infant's winter coat."
"Ensure the airbag is activated if the car seat is in the front passenger seat."
"Pad the backrest of the car seat with a thick blanket before securing your infant."
The Correct Answer is A
A. "Keep the car seat in a rear-facing position until your infant is 2 years old." The American Academy of Pediatrics (AAP) recommends keeping infants in a rear-facing car seat until at least 2 years of age or until they reach the height and weight limits specified by the car seat manufacturer for optimal safety.
B. "Fasten the harness over your infant's winter coat." Bulky clothing (such as winter coats) should not be worn under the harness because it can create excess space, reducing the effectiveness of the restraint and increasing injury risk. Instead, the infant should be dressed in thin layers, and a blanket can be placed over the secured harness if warmth is needed.
C. "Ensure the airbag is activated if the car seat is in the front passenger seat." Infants should never be placed in the front passenger seat if the car has an active airbag. Airbags can cause severe injury or death if deployed while a rear-facing car seat is in place. The safest position is always in the back seat.
D. "Pad the backrest of the car seat with a thick blanket before securing your infant." Additional padding should not be used, as it can interfere with the proper fit of the harness and compromise safety. Car seats are designed to provide adequate support and protection without extra cushioning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
Explanation
Disseminated Intravascular Coagulation (DIC)- Bacterial meningitis can lead to septicemia, which may trigger DIC. Petechiae or purpura (noted earlier) suggest potential coagulation abnormalities. DIC results in widespread clotting and subsequent bleeding, which can be life-threatening.
Hydrocephalus- Meningeal inflammation can obstruct cerebrospinal fluid (CSF) flow, leading to increased intracranial pressure (ICP). Symptoms such as headache, lethargy, irritability, and nuchal rigidity suggest increased ICP and potential hydrocephalus development.
Hypothermia- The child presents with fever (38.7°C/101.7°F), which is typical in bacterial infections rather than hypothermia. Septic shock can cause hypothermia in late stages, but early-stage bacterial meningitis more commonly causes fever.
Correct Answer is ["C","F","G"]
Explanation
Capillary refill 4 seconds (Cardiovascular) – Indicates poor perfusion and worsening dehydration.
Extremities cool (Integumentary) – Suggests impaired circulation, potential hypovolemia.
Reports no tears (Integumentary) – Sign of severe dehydration.
Lethargic (Neurologic) – Worsening mental status, could indicate hypovolemia or electrolyte imbalance.
Heart rate 112/min – Mildly elevated but not yet critical.
Respiratory rate 26/min – Within an acceptable range for a toddler.
Hyperactive bowel sounds – Expected with diarrhea.
Diaper area reddened – Needs care but not urgent
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