Only the items pictured. Brand new - never used! Babies with a low birth weight can safely ride in their nuna PIPA car seat with this memory foam–padded inset pillow that provides a snug, custom fit. GOTS-certified organic cotton adds to the extra-soft feel. • Compatible with nuna PIPA, PIPA Lite and PIPA Lite LX car seats (sold separately) • Memory-foam in the headrest provides a custom fit • Two-piece design grows with baby • Insert should be removed once a snug fit can be achieved without it, at approximately 11 lb. • GOTS-certified organic cotton • Hand wash, air dry