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Conventional Restraints

Conventional Car Seats

  • Use whenever possible
  • Easier to find
  • Easier to use
  • Less expensive
  • Meet Federal Motor Vehicle Safety Standards (FMVSS 213)
  • Many have variety of features to assist in positioning

Types of Conventional Car Seats

  • Rear-Facing Only
  • Convertible (includes All-in-One)
  • Combination
  • Booster

Rear-Facing Only Car Seats

Infant in rear-facing only car seat Source: Automotive Safety Program
  • Only installed rear-facing
  • Lower weight 3-5 pounds
  • Upper weight 22-35 pounds
  • Helpful features:
    • Positioning inserts/extra padding
    • Multiple harness slots and crotch strap positions
    • Variable recline angles

Positioning Infants

  • If allowed by car seat manufacturer
  • Blanket rolls along sides for stable positioning
  • Blanket rolls outside of harness
  • Crotch rolls may also be used to prevent slouching
  • No extra padding under or behind baby

 

Some infants May Require Additional Medical Screening

Nurse observing preterm infant for apnea, bradycardia, oxygen desaturation in conventional car seat
  • Car Seat Tolerance Screening
  • Observe infants born < 37 weeks gestation and other at risk infants for apnea, bradycardia, oxygen desaturation in car seat
  • Infants may require, supplemental oxygen, continued hospitalization, or use of car bed for significant documented events may be indicated
  • Car seat tolerance screening must be completed again if car bed is selected

Convertible Car Seats

Source: www.thespruce.com
  • Converts from rear-facing to forward-facing seat
    • Rear-facing:
  • Lower weight 3-5 pounds
  • Upper weight 40-50 pounds
    • Forward-facing:
  • Lower weight 20-25 pounds
  • Upper weight 40-65 pounds
  • 2 years of age for some models

 

All-in-One Car Seats

Source: Graco
  • Rear-facing, Forward-facing and Belt Positioning Booster
  • Rear-facing:
    • Lower weight 4-5 pounds
    • Upper weight 40-50 pounds
  • Forward-facing:
    • Lower weight 22-25 pounds
    • Upper weight 50-65 pounds
    • 2 years of age for some models
  • Belt Positioning Booster
    • Lower weight 40 pounds
    • Upper weight 80-120 pounds
    • Up to 57 inches

 

 

Combination Car Seat

Child with cerebral palsy
in combination car seat
Source: Automotive Safety Program
  • Changes from car seat with harness to booster by removing harness and using vehicle lap-and-shoulder belt for crash protection
    • Harness mode:
  • Lower weight 22-30 pounds
  • Upper weight 40-65 pounds
  • Child must be 2 years old for some models
    • Belt Positioning Booster
  • Lower weight 40 pounds
  • Upper weight 100-120 pounds
  • Up to 57 inches

 

 

 

 

Booster Seat

High-Back Booster
Source: NHTSA Image Library
Backless Booster
Source: NHTSA Image Library
  • “Boosts” child up so seat belt fits
  • Requires lap-and-shoulder belt
  • Lower weight 30-40 pounds
  • Upper weight 100-120 pounds
  • Up to 57 inches
  • Minimum age of 4 years for some boosters
  • High-back or backless models

 

 

 

 

 

 

Seat Belt Fits

A child sitting in the back seat of a vehicle strapped in a seat belt

  • Sits with bottom against the back seat and knees bend at seat edge
  • Shoulder belt crosses clavicle and chest, not face, neck, or throat
  • Lap belt low and flat across upper thighs – not abdomen
  • Children under 13 always in back seat

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