A child with a seizure disorder suddenly drops to the floor without warning.
What type of seizure is this?

Choice A rationale

Using antibacterial soap for general handwashing is a good hygiene practice but does not directly prevent tick bites. Tick prevention focuses on avoiding tick-infested areas and creating a barrier against ticks.

Choice B rationale

Wearing long sleeves and pants outdoors, especially in wooded or grassy areas where ticks are commonly found, is a crucial measure for preventing tick bites. This creates a physical barrier that reduces the skin's exposure to ticks.

Choice C rationale

While avoiding wooded areas can reduce the risk of tick exposure, it may not always be practical or possible. Emphasizing protective clothing and other preventive measures allows children to engage in outdoor activities while minimizing risk.

Choice D rationale

Applying sunscreen protects against sunburn but does not prevent tick bites. While important for overall skin health, sunscreen does not deter or kill ticks. Insect repellents containing DEET or picaridin are effective against ticks. .

Choice A rationale

Inserting a nasogastric tube for decompression of the abdomen is a standard intervention for suspected Hirschsprung's disease, which is characterized by a lack of ganglion cells in a segment of the colon, leading to impaired motility and potential bowel obstruction. Decompression helps relieve abdominal distension and pressure.

Choice B rationale

NPO status and initiating IV fluids are appropriate initial management for a child with suspected Hirschsprung's disease to rest the bowel and maintain hydration and electrolyte balance while further diagnostic tests are performed.

Choice C rationale

Monitoring abdominal girth every 4 hours is essential to assess for increasing abdominal distension, which can indicate worsening obstruction in Hirschsprung's disease. An increasing girth would warrant further investigation and intervention.

Choice D rationale

Administering a large-volume liquid enema is contraindicated in suspected Hirschsprung's disease. Due to the aganglionic segment's impaired motility, the enema fluid may not be expelled and could lead to fluid overload or bowel perforation. Diagnostic enemas using contrast are performed under controlled conditions.