A nurse is caring for an 8-year-old during a well-child exam. The parent states that the child's cousin has intussusception and asks if their child is at risk. Which of the following responses should the nurse make?

"Since there's a family history, your child is at a higher risk of intussusception."

"Intussusception is more common in infants and toddlers, so your child is at a lower risk."

"The risk of intussusception remains the same across all age groups, so your child has an equal risk."

"Intussusception is a common condition in school-age children, so your child is at a higher risk."

Answer and Explanation

The Correct Answer is B

A. "Since there's a family history, your child is at a higher risk of intussusception." is not entirely accurate. Family history does not significantly increase the risk of intussusception. It is more commonly seen in infants and toddlers, not school-age children.

B. "Intussusception is more common in infants and toddlers, so your child is at a lower risk." is correct. Intussusception typically occurs in infants and toddlers between the ages of 6 months and 3 years, so the risk is lower in school-age children.

C. "The risk of intussusception remains the same across all age groups, so your child has an equal risk." is incorrect. The incidence of intussusception is higher in younger children, particularly those under 2 years old.

D. "Intussusception is a common condition in school-age children, so your child is at a higher risk." is incorrect. Intussusception is less common in school-age children and is more frequently seen in younger children.

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Correct Answer is A

Explanation

A. Administering anti-seizure medication is the priority. In a child experiencing status epilepticus, immediate administration of anti-seizure medication is essential to stop the seizure activity and prevent further neurological damage. The primary goal is to terminate the seizure as quickly as possible.

B. Restraining the child to prevent injury is not the priority. Restraining a child during a seizure can increase the risk of injury and is not recommended. Instead, protecting the child from harm by placing them in a safe position is more appropriate.

C. Providing emotional support to the child's family is important, but it is not the immediate priority during the acute phase of status epilepticus. The child's immediate safety and health take precedence.

D. Documenting the seizure activity should be done after ensuring that the seizure has been controlled. Accurate documentation is important, but it is secondary to the intervention needed to stop the seizure.

A. "My baby's formula can be thickened with oatmeal." B. "I will keep my baby in an upright position after feedings." C. "I will have to feed my baby formula rather than breast milk." D. "I should position my baby side-lying during sleep."

Correct Answer is B

Explanation

A. "My baby's formula can be thickened with oatmeal." While some infants with reflux may benefit from thickening their formula, oatmeal is not typically recommended as a thickening agent. Parents should follow specific medical guidance on safe thickening agents for formula.

B. "I will keep my baby in an upright position after feedings." This statement demonstrates an understanding of appropriate management of gastroesophageal reflux (GER). Keeping the baby upright after feeding helps prevent the backflow of stomach contents into the esophagus, reducing reflux symptoms.

C. "I will have to feed my baby formula rather than breast milk." This statement is incorrect. Breast milk is not contraindicated for infants with GER, and in fact, breast milk may be easier to digest and may help reduce reflux symptoms compared to formula.

D. "I should position my baby side-lying during sleep." This statement is not recommended. Babies should be placed on their back for sleep, as side-lying positions can increase the risk of sudden infant death syndrome (SIDS). The back sleep position is safest for all infants, including those with reflux.

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A nurse is caring for an 8-year-old during a well-child exam. The parent states that the child's cousin has intussusception and asks if their child is at risk. Which of the following responses should the nurse make?

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Explanation

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