A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer: B

Rationale: The correct statement indicating an understanding of car seat safety is "I should place the car seat rear facing until my baby is 12 months old." This statement reflects the current recommendation by the American Academy of Pediatrics (AAP), which suggests that infants should ride in a rear-facing car seat until they are at least 2 years old or until they reach the maximum height or weight limit allowed by the car seat manufacturer. This position provides the best protection for the baby's head, neck, and spine in the event of a crash. The other statements are incorrect:

Correct Answer: C

Rationale: Misoprostol is a prostaglandin E1 analog that is commonly used for labor induction. It is particularly useful in clients with a previous uterine incision, such as a cesarean section scar, because it helps soften the cervix and promote uterine contractions, which can lead to successful vaginal birth after cesarean (VBAC). Misoprostol can be an effective method for inducing labor in these clients while minimizing the risk of uterine rupture. However, it is important to closely monitor clients for signs of uterine hyperstimulation when using misoprostol for labor induction.

Correct Answer: D

Rationale: Blurred vision is a potential prenatal complication during the third trimester of pregnancy and can be a sign of conditions such as preeclampsia or gestational diabetes. It is important for the nurse to further assess this finding and consult with the healthcare provider to ensure appropriate management and monitoring of the client's condition. Periodic tingling of fingers, absence of clonus, and leg cramps are common discomforts during pregnancy and do not typically indicate a prenatal complication.

Correct Answer: C

Rationale: The major barrier to health care for adolescent mothers is seeing a different nurse and/or health care provider at every visit. Continuity of care is crucial for adolescent mothers as they need consistent support and guidance throughout their pregnancy and postpartum period. When they see different healthcare providers at each visit, it can lead to fragmented care, lack of trust in the healthcare system, and hinder the establishment of a therapeutic relationship. This barrier can impact the quality of care received and ultimately affect the health outcomes for both the adolescent mother and her baby.

Correct Answer: B

Rationale: 1. Cleft lip and palate: Parents of a newborn with a cleft lip and palate may face challenges related to feeding difficulties, speech development issues, and concerns about their child's appearance. These issues can require additional medical interventions and support, leading to long-term parenting stress and psychological strain.