A child is diagnosed with sickle cell disease. The parents are unsure how their child contracted the disease. Which explanation by the nurse is the most appropriate?

"The father has the trait, but the mother doesn’t."

"The mother has the trait, but the father doesn’t."

"Both the mother and the father have the sickle cell trait."

"The mother has sickle cell disease, but the father doesn't have the disease or the trait."

Answer and Explanation

The Correct Answer is C

Choice A reason: This option is incorrect because sickle cell disease is an inherited condition, and one parent having the trait is not sufficient for a child to have the disease.
Choice B reason: This option is also incorrect for the same reason as choice A; both parents must carry the trait for the child to have a chance of inheriting the disease.
Choice C reason: This is the correct choice. Sickle cell disease is inherited when both parents carry the sickle cell trait, giving their child a 25% chance of having the disease.
Choice D reason: This option is incorrect because if only one parent has sickle cell disease and the other has neither the disease nor the trait, the child cannot have sickle cell disease.

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Correct Answer is C

Explanation

Choice A reason: This statement is incorrect; children's bones actually heal faster than those of adults due to a more robust blood supply and the presence of growth factors.

Choice B reason: Growth in children does not occur due to an increase in the number of muscle fibers; rather, it happens through the lengthening of existing fibers.

Choice C reason: Children's bones do have decreased density compared to adults, which is why they are more flexible and less likely to break.

Choice D reason: The statement about decreased blood flow in children's bones is incorrect; children typically have a higher blood flow in their bones, which contributes to their faster healing process.

A. Keep suction equipment at bedside. B. Position the child upright for feedings. C. Feed slowly using specialized feeding bottles. D. Explain to the mother that breastfeeding will not be possible until after the repair.

Correct Answer is D

Explanation

Choice A reason: Keeping suction equipment at bedside is important to maintain airway patency and prevent aspiration.
Choice B reason: Positioning the child upright for feedings can help prevent aspiration and is a recommended practice.
Choice C reason: Feeding slowly using specialized feeding bottles can help the infant feed effectively and safely.
Choice D reason: This is the correct choice. Breastfeeding is often possible with the use of special techniques and should not be discouraged unless specifically contraindicated.

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A child is diagnosed with sickle cell disease. The parents are unsure how their child contracted the disease. Which explanation by the nurse is the most appropriate?

Nursing Test Bank

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