Health Promotion and Maintenance - 1

Which of the following is an example of a positive effect of exercise on a client?

Decreased basal metabolic rate

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Decreased venous return

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Decreased work of breathing

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Decreased gastric motility

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You have been assigned to take an apical pulse for one of the patients in the nursing unit. How will you do this?

You will place the stethoscope over the heart and listen for any irregular beats

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You will place the stethoscope over the heart and count the beats per minute

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You will place your finger tip over the patient's wrist and feel for any irregular beats

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You will place your finger tip over the patient's wrist and count the beats per minute

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When a nurse does a pulse, he should note which of the following?

Rate

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Rate and quality

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Rate, quality and fullness

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Rate, quality, fullness and regularity

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What term is used to describe the sexual response changes among middle aged men?

Menopause

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Climacteric

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Generativity

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Maturity

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Mr. Roberts, a 68-year-old man, notices a gradual loss of hearing. This sensory change is called ________.

presbycusis

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xerostomia

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myopia

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presbyopia

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Changes, such as retirement, grand parenting and increased dependence on others, are examples of what kind of changes?

Moral

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Psychosocial

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Self-esteem

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Psychomotor

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The community health nurse is educating a group of middle-aged women about recommended health screenings. Which of the following statements indicates that the client has understood the recommended health screenings for a 50 year old female?

"I should get a pap smear every year."

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"I should get a mammogram every three years."

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"I should get a colonoscopy every 10 years."

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"I should get my blood glucose checked every five years."

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A physician’s order instructs a nurse to take a temperature at the axilla. Where would the nurse place the thermometer?

In the rectum

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In the mouth

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On the temples

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In the armpit

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The pulse point located on the top of the foot is:

the dorsalis pedis.

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is checked in patients with peripheral vascular problems.

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absent in some patients due to a congenital anomaly.

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All of the above.

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Over a patient’s lifespan, the pulse rate:

starts out fast and decreases as the patient ages.

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starts out slower and increases as the patient ages.

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Varies from slow to fast throughout the lifespan.

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Stays consistent from birth to death.

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A common error when taking a pulse is:

placing the index finger on the radial artery which is located on the thumb side of a patient's wrist.

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noting a pulse as being "weak" when the pulsation disappears upon adding pressure.

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counting the pulse for 15 seconds and multiplying the number by four.

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None of the above will cause errors.

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Korotkoff sounds are:

sounds noted during diastole.

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the result of the vibration of blood against artery walls while blood pressure readings are being taken.

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are only noted by skilled cardiologists.

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distinct sounds which are classified into 6 phases.

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The patient position that is most useful for proctologic exams is the:

Trendelenburg

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Semi-Fowler's

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Full Fowler's

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Jack Knife

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The BEST blood collection location for a newborn is:

the AC.

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the veins of the forehead.

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the heel.

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the fingertips.

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A 39-year old woman presents for treatment of excessive vaginal bleeding after giving birth to twins one week ago. Which nursing diagnosis is most appropriate in this situation?

Knowledge Deficit related to post-partum blood loss

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Self-Care Deficit related to post-partum neglect

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Fluid Volume Deficit related to post-partum hemorrhage

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Body Image Disturbance related to body changes after delivery

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A public health nurse discovers that many of the children in the neighborhood where she works are developing lead toxicity. She implements a program to screen for lead exposures among clients in the community. This is an example of:

Social justice

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Policy resources

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Autonomy

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Moral justification

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The community health nurse is educating a group of middle aged men about recommended health screenings. Which of the following statements indicates the client has understood the recommended health screenings for a 50 year old male?

"I should get a testicular exam every year."

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"I should get a colonoscopy every five years."

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"I should get a prostate-specific antigen test every five years."

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All of the above

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Which situation might require an occupational health nurse consult?

A nurse is injured from using incorrect body mechanics to lift a client

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A nurse receives a subpoena to testify in court about a client's case

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A client who has been injured in a diving accident needs assistance with planning rehabilitation and surgery

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A nursing unit is implementing a new electronic health record system

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Which of the following is the most appropriate example of anticipatory guidance for a 16-year old who has been hospitalized for an ankle fracture?

Changes associated with puberty

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Driving and staying safe

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The health hazards of smoking

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Social media influences

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Becky is a 17-year-old type I diabetic who has been admitted for her third episode of diabetic ketoacidosis (DKA) since being diagnosed last year. She states that she hates feeling different than her friends and refuses to take her insulin as recommended. What would be the most helpful action for Becky?

Scold her for not taking her insulin

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Recommend that she use an insulin pump

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Contact the local support group for diabetic teens

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Tell her parents they must provide more strict oversight

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Which of the following is a true statement about assessing blood pressure by palpation?

Only the diastolic blood pressure can be assessed through palpation.

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The palpation technique is most useful for infants and small children.

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Hypertension is a common condition that might need to be assessed through blood pressure palpation.

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Only the systolic blood pressure can be assessed through palpation.

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A student health nurse working at a college is discussing lifestyle choices with a female client who came to the office today. The female client is sexually active and informs the nurse “I use condoms every time, as far as I know”. The student reveals that she is not sexually active exclusively with one person. Which of the following topics should the nurse include in her teaching when educating the client?

Information on STI testing

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Substance use disorders

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Contraception

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All of the above

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Both a and c only

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A nurse is assisting a pregnant client who is having an amniocentesis. Which of the following statements by the nurse indicates the correct teaching for this procedure?

I'm going to help you lie flat on your back for this."

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Don't worry, I'm sure everything will be alright."

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I will need to help you remove your shirt for this procedure."

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Now that the procedure is finished, I will put a small bandage over the puncture site."

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A nurse is caring for a client who is in labor. The nurse has attached an electronic fetal monitor to the client’s abdomen and is assessing the baby’s heart rate. She notes that the baby’s heart rate seems to slow down during each contraction. The heart rate does not return to normal limits until after the contraction is complete. Which type of fetal heart rate change does this pattern describe?

Variable decelerations

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Late decelerations

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Early decelerations

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Accelerations

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Which of the following reasons indicates a need for a non-stress test in a pregnant client?

The client is overdue

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The baby has not been moving

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The mother is carrying twins

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All of the above

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Both a and c only

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The key to the prevention of a pandemic influenza is:

Early detection.

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Early antibiotic treatment.

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Vaccination of at risk populations.

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Isolation of suspected cases.

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Which risk factor places patients and residents at the greatest risk for falls?

Old age

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Middle years

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Pneumonia

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COPD

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A nurse is working at the community clinic and is completing a risk behavior assessment on a 16 year old sexually active female who is coming to the clinic for birth control. The nurse should recommend the client undergoes which of the following:

Pregnancy test

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HIV testing

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Pap smear

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All of the above

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You are taking care of Mary Eden. She is an elderly and frail 91 year old resident. She gets confused during evening hours and at times she thinks that she hears her daughter calling her from the other side of the nursing home. Which physical problem places Mary Eden at risk for falls?

Her confusion

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Her daughter

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Evening hours

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Her frailness

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What kind of preventive measures is MOST likely to be used to prevent Mary Eden from falling because of her muscular frailness?

Physical therapy for muscle strengthening exercises

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Physical therapy for range of motion exercises

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Occupational therapy to help her with confusion

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Medications in order to have her sleep more

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Elderly patients are more prone to dehydration than younger people because the elderly _____________.

drink more coffee and tea

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have more stomach mucus production

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have more saliva

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have less sense of thirst

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Select the age group that is coupled with an infectious disease that is most common in this age group.

Infants: High billirubin

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Pre-School and School Age Children: Shingles

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Young Adults and Teenagers: Sexually transmitted diseases

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The Elderly: Malaria

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A nurse is providing information for a woman who is 36 weeks’ pregnant and who has hepatitis B. Which of the following statements from the client indicates understanding of this condition?

Now I know I will need a cesarean section."

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My baby will need two shots soon after his birth."

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I will not be able to breastfeed."

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My baby's father does not need testing; I know I am the one with hepatitis."

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A nurse is caring for a 2-day old infant who has a bilirubin level of 19 mg/dl. The physician has ordered phototherapy. Which of the following actions indicates correct preparation of the infant for this procedure?

Undress the baby down to a diaper and hat

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Place the baby in his mother's arms before turning on the light

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Position the phototherapy light approximately 3 inches above the baby's skin

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Secure eye protection for the infant without occluding the nose

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Mrs. D is a pregnant client who is 33 weeks’ gestation and is admitted for bright red vaginal bleeding. Her physician suspects placenta previa. All of the following nursing interventions are appropriate for this client except:

Institute complete bed rest for the client

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Assess uterine tone to determine condition

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Perform a vaginal exam to assess cervical dilation

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Measure and record blood loss each shift

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A nurse is caring for Mrs. L, a pregnant client who is 35 weeks’ gestation. The client complains of abdominal pain; her abdomen is rigid and she has little vaginal bleeding. The nurse notes few fetal accelerations on the fetal monitor. Which of the following conditions most likely describes these symptoms?

Placenta previa

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Prolapsed cord

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Preeclampsia

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Abruptio placentae

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Mrs. L’s blood pressure has dropped to 86/58 and her heart rate is 112 bpm. Based on her assessment, what is the most appropriate action of the nurse?

Insert two large-bore IVs

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Elevate the head of the bed

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Insert an indwelling catheter

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Both a and c

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A nurse is performing an education session to a group of middle-aged adults on prevention of osteoporosis. Which of the following statements made by the client indicates they need further teaching regarding prevention of osteoporosis?

"I should discuss taking Calcium and vitamin D supplements with my doctor."

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"I should participate in 30 minutes of swimming most days of the week."

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"I should participate in 30 minutes of walking most days of the week."

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"I should discuss a Bone Density Scan (DXA) with my physician."

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A patient presents with vesicles covering the upper torso. Which of the following situations could cause this condition?

Knife fight

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Auto accident

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Sunburn

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Fungal infection

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Mr. and Mrs. K have just adopted a newborn infant and are preparing to take him home from the hospital for the first time. Which safety measure is most appropriate for the clients in this situation?

Turn the handles of pans on the stove inward

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Set up a baby gate at the top of the stairs

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Cover electrical outlets with child-proof plugs

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Install an approved car seat that is facing backward in the back seat

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