NCLEX Practice Test

During the discharge process, the nurse observes a new parent placing a newborn into a car seat in the vehicle. Which action by the parent requires the nurse to intervene?

1. Anchors the car seat in the center of the vehicle's back seat

2. Dresses the newborn in a sleep sack before securing the harness

3. Keeps the car seat at a 45-degree angle

4. Uses a car seat that faces the rear of the vehicle

The correct answer is: Anchors the car seat in the center of the vehicle's back seat

The correct course of action for the nurse in this scenario would focus on the positioning of the car seat in the vehicle. Placing the car seat in the center of the back seat is generally recommended as it's considered the safest location in the vehicle, as it is farthest from side-impact collisions. However, the critical action that requires intervention involves how to properly secure the car seat. If the car seat is not anchored properly or if the parent is making an adjustment that compromises safety, then the nurse would need to address that specifically. Dressing the newborn in a sleep sack, maintaining a 45-degree angle, and using a rear-facing car seat are all appropriate practices that enhance the safety and comfort of the newborn during travel. The sleep sack helps to keep the baby warm without bulky clothing that could interfere with the harness, the angle is crucial for proper airway management, and a rear-facing car seat is the safest orientation for infants to minimize risk of injury in the event of a collision.