The nurse is educating the parents of an 18-month-old toddler about safety and injury prevention. Which action by the parents best demonstrates their understanding of the child’s safety needs?

Supervising the child in outdoor, fenced play areas.

Allowing the child to cross the street with a 6-year-old sibling.

Using an automobile booster seat with a lap belt.

Teaching the child about swimming and water safety.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Supervising the child in outdoor, fenced play areas is a key safety measure for toddlers. At this age, children are exploring their environment and may not be aware of potential dangers.

Fenced play areas provide a safe space for the child to play while still being under the watchful eye of the parents. This demonstrates an understanding of the child’s safety needs.

Choice B rationale

Allowing a toddler to cross the street with a 6-year-old sibling is not a safe practice. Children at this age do not have the cognitive ability to understand the dangers of traffic and cannot make safe decisions about when to cross the street. Therefore, this action does not demonstrate an understanding of the child’s safety needs.

Choice C rationale

Using an automobile booster seat with a lap belt is not appropriate for an 18-month-old toddler. According to safety guidelines, children under the age of 2 should be in a rear-facing car seat, and children between the ages of 2 and 4 should be in a forward-facing car seat with a harness. Booster seats are typically used for older children who have outgrown their forward- facing car seats. Therefore, this action does not demonstrate an understanding of the child’s safety needs.

Choice D rationale

Teaching a toddler about swimming and water safety is important, but it is not enough to ensure the child’s safety. Toddlers should always be supervised around water, even if they have had swimming lessons. Drowning is a leading cause of death in toddlers, and it can happen quickly and silently. Therefore, while teaching water safety is a good step, it needs to be combined with other safety measures.

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Correct Answer is ["B","C","D"]

Explanation

Choice A rationale

At one month of age, infants are not expected to sit without support. Therefore, an inability to do so would not be a cause for concern at this age.

Choice B rationale

By one month, infants should be able to briefly raise their head when placed in a prone (on their stomach) position. If an infant is unable to do this, it could indicate a potential developmental delay or muscle weakness.

Choice C rationale

At one month, infants typically have not yet developed the coordination to bring an object to their mouth. Therefore, an inability to do so at this age would not be a cause for concern.

Choice D rationale

By one month, infants are not expected to have the fine motor skills necessary to pick up an object with their fingers. Therefore, an inability to do so would not be a cause for concern at this age.

Correct Answer is ["90"]

Explanation

When administering an intramuscular injection into the vastus lateralis muscle, the nurse should use a 90-degree angle. This ensures that the medication is delivered directly into the muscle tissue, allowing for optimal absorption.

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The nurse is educating the parents of an 18-month-old toddler about safety and injury prevention. Which action by the parents best demonstrates their understanding of the child’s safety needs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a one-month-old infant.Which of the following findings should the nurse report to the provider?

Correct Answer is ["B","C","D"]

Explanation

A nurse is preparing to administer benzathine penicillin G IM to a school-aged child. Which anglewill the nurse use for injection into the child’s vastus lateralis muscle?

Correct Answer is ["90"]

Explanation

A nurse is teaching parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? Select all that apply.

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