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3 Conventional Restraints

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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

<Car seat display in a store

Types of Conventional Car Seats

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

Rear-Facing Only Car Seats

  • 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
Infant in rear-facing only car seat
Infant in rear-facing only car seat; Source: Automotive Safety Program

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
Infant with rolled receiving blankets for support
Infant with rolled receiving blankets for support; Source: Automotive Safety Program

Some infants May Require Additional Medical Screening

  • 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
Nurse observing preterm infant for apnea, bradycardia, oxygen desaturation in conventional car seat
Nurse observing preterm infant for apnea, bradycardia, oxygen desaturation in conventional car seat

Convertible Car Seats

  • 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
Two convertible car seats
Source: www.thespruce.com

All-in-One Car Seats

  • 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
All-in-one car seat
Source: Graco

Combination Car Seats

  • 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
Child with cerebral palsy in combination car seat; Source: Automotive Safety Program
Child with cerebral palsy in combination car seat; Source: Automotive Safety Program

Booster Seats

  • “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
Child sitting in a backless booster seat
 Backless Booster; Source: NHTSA Image Library
Child sitting in a high-back booster seat
 High-Back Booster; Source: NHTSA Image Library

Seat Belt Fits

  • 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

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

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