Car seat safety NCLEX questions quiz for pediatric nursing students!
For pediatric exams in nursing school, you want to be familiar with car seat safety restraints that are used in motor vehicles. These restraints include: rear-facing, forward-facing, booster seat, and seat belt. As the nurse you will play an important role in educating the parent on how to use these devices properly.
Don’t forget to watch the lecture on car seat safety before taking the quiz.
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Car Seat Safety NCLEX Questions Quiz
1. A 15-month-old child weighs 26 lbs. and is 35 inches. What type of car seat below is considered the SAFEST for this child to use while riding in a motor vehicle?
C. booster seat
D. seat belt
The answer is A. According the AAP (American Academy of Pediatrics) a child should use a rear-facing car seat starting at birth and up until the time the child outgrows the device based on the manufacture’s limits. This typically is until about 4 years of age. In 2018, the AAP removed the age criteria of 2 years of age and recommends a child uses a rear-facing restraint longer.
2. True or False: The age of a child is the most important determining factor when selecting a car seat for a child.
The answer is FALSE. When selecting a car safety restraint for a child the parent should avoid going by an age parameter but rather by: does the child fit in that specific device (example: meets the manufactures height and weight limits for that restraint), child’s height and weight, and the child’s development.
3. Select the incorrect statement below regarding car seat safety:
A. The parent should be educated about the importance of using parental locks for the doors and windows when children are riding in the car.
B. Rear-facing car seats are specifically to be used only for children 2 years or less, and then the child should be advanced to a forward-facing restraint.
C. Children 12 and under should never ride in the front seat of a car.
D. If a child wears bulky clothes and uses a car seat restraint, it could decrease the effectiveness of the restraint.
The answer is B. Option B is FALSE. All the other options are true. Option B is false because new guidelines set by the AAP (in 2018) states that children should continue to use a rear-facing restraint until they outgrow it. This typically is until about 4 years of age. In 2018, the AAP removed the age criteria of 2 years of age and recommends a child uses a rear-facing restraint longer.
4. Which finding below demonstrates a child does not fit correctly in a rear-facing device?
A. The buckled chest clip is found at armpit level.
B. The child’s legs come into contact with the back of the seat.
C. The shoulder straps of the harness are found above the child’s shoulders.
D. You are unable to pinch the sides of the harness together.
The answer is C. All the other options are findings that demonstrate the rear-facing device correctly fits the child. Option B does not indicate the child is ready for a forward-facing device yet. If the legs start to come into contact with the back seat, the parent can add a leg extension panel to allow for more room (many manufactures have this option on car seats today). Option C demonstrates the restraint does NOT fit the child correctly. With a rear-facing device, the shoulder straps of the harness should be found AT or BELOW the child’s shoulders (not ABOVE…this is for a forward-facing restraint).
5. You’re helping a parent install a forward-facing car seat. After installing the car seat you place the child in the car seat and buckle it. Which TWO findings below cause concern and require action?
A. The top of the child’s ears are above the top of the restraint.
B. The shoulder straps of the harness are found above the child’s shoulders.
C. The buckled chest clip is found 1 inch below the armpit level.
D. You are unable to pinch the sides of the harness together.
The answers are A and C. These findings demonstrate the child doesn’t fit the restraint and is not secured properly. The top of the child’s ear should be BELOW the top of the restraint, and the buckled chest clip should be found AT armpit level (NOT 1 inch below it).
6. When a booster seat is used to restrain a child in a car the nurse should remember to educate the parent about which of the following?
A. The shoulder strap and lap belt can used together or alone when using a booster seat.
B. Children are typically ready to use a booster seat by the age of 2 years.
C. A child can safely ride in a booster seat in the front seat of a car.
D. The lap belt should always go under both sides of the arm rests.
The answer is D. All the other options are INCORRECT. Option D is the only correct statement and should be stressed to the parent during booster seat education (The lap belt should always go under BOTH sides of the arm rest). Both the shoulder strap and lap belt should be used with a booster seat, the safest place for a child 12 and under is in the BACK seat (not the front), and children are typically ready to use a booster seat by the age of 6 years (this varies based on their size and development…age should not be the main determining factor for selecting a car safety restraint).
7. Which finding below demonstrates that a child does not properly fit in a booster seat?
A. The shoulder belt sits across the middle of the shoulder and chest.
B. The lap belt sits across the abdomen.
C. The child’s legs bend and dangle down from the booster seat.
The answer is B. The lap belt should be positioned on the lower part of the hips (NOT abdomen) and rest on the upper legs (thighs).
8. A 10-year-old is wearing a seat belt in a car. Select all the findings below that demonstrate the seat belt is the correct restraint to be used by this child:
A. The child’s back is aligned and rests easily against the back seat.
B. The legs do not dangle down or bend over the edge of the seat.
C. The lap belt sits across the lower part of the hip and rests on the upper legs.
D. The shoulder strap sits on the neck and down the chest.
The answers are A and C. Options a and c demonstrate the seat belt fits the child. However, options B and D demonstrate the seat belt does NOT fit the child. The legs should dangle and bend down over the edge of the seat, and the shoulder strap should sit on the middle of the shoulder and chest.
9. TRUE or FALSE: A rearing-facing or forward-facing car seat is installed correctly if you can move the seat side-to-side or front-to-back 1-2 inches.
The answer is FALSE. The car seat should NOT move no more than 1 inch from side to side or front to back.
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