Which is the priority rationale for doing a car seat trial for a ...

[ETearle]

Which is the priority rationale for doing a car seat trial for a preterm neonate being discharged soon?
 
  a. To assess the car seat's size
  b. To assess the parents' knowledge about car seat use
  c. To determine if the neonate cries while in the car seat
  d. To assess for any neonate apnea or bradycardia while in the car seat

Question 2

Which infant should be seen immediately by a health care provider?
 
  a. A 1-week-old infant with a diaper rash
  b. A 1-month-old infant with an axillary temperature of 99.8 F (37.7 C)
  c. A 3-week-old breast-fed infant who has had two loose stools
  d. A 2-week-old infant with nasal congestion and respirations of 64 breaths/min

[JYan]

Answer to Question 1

ANS: D
Some infants have low oxygen levels, bradycardia, or apnea when in a car seat. Facilities often have parents of infants under 37 weeks' gestation or of low birth weight bring their car seat to the hospital to test the infant's response to being placed in the seat. During testing, the infant's vital signs and oxygen level are monitored. Preterm and small infants may need special adaptations. Blankets or bolsters placed at the head, along the sides, and between the legs may improve the fit, but that is not the priority reason for doing a car seat trial. The parent's knowledge should be assessed, but it is not the priority for a car seat trial. The neonate may cry in the car seat, but that is not the reason for the car seat trial.

Answer to Question 2

ANS: D
Normal respiratory function is a high priority in the newborn. Any situation in which respiratory function is impaired should be assessed immediately by a physician. Diaper rashes are a normal variant. A temperature of 99.8 F (37.7 C) is still within normal limits. Breast-fed infants have loose stools, so this is a normal finding.