A nurse is preparing a presentation for a parent group about media and the school-aged child. Which of the following statements should be included in the presentation?

Playing video games right before bed will promote sleep.

Electronic devices should be powered off and left outside your child's room each night.

Computers and TVs should be located in the child's room for convenience

Your child should not watch more than three hours of TV a day.

Answer and Explanation

The Correct Answer is B

A. Video games and other stimulating electronic media before bedtime can interfere with sleep onset and quality by increasing arousal and exposure to blue light, which suppresses melatonin production. Encouraging gaming before bed is contrary to sleep hygiene recommendations for school-aged children.

B. Limiting access to electronic devices during bedtime supports healthy sleep patterns, reduces exposure to inappropriate content, and encourages family interaction or reading. Current pediatric guidelines recommend removing TVs, computers, and mobile devices from the bedroom to prevent sleep disturbances and excessive media use.

C. Having electronic devices in the child’s bedroom increases the risk of excessive screen time, sleep disruption, and reduced physical activity. Devices should instead be located in shared family spaces to allow for monitoring and balanced use.

D. The American Academy of Pediatrics recommends no more than 1–2 hours of recreational screen time per day for school-aged children. Three hours exceeds this limit and does not align with evidence-based guidance on healthy media use.

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Correct Answer is A

Explanation

A. Slipped capital femoral epiphysis (SCFE) is most commonly seen in obese children, particularly males, during the preadolescent growth spurt (typically ages 10–16). Excess body weight increases stress on the growth plate (epiphysis) of the femoral head, making it more prone to slippage. Recognizing the high-risk population allows the nurse to anticipate complications, provide appropriate monitoring, and prepare for surgical intervention, which is the standard treatment.

B. While SCFE can occur in females, it is less common than in males. Female cases often present slightly later and may be associated with hormonal or endocrine factors, but statistically, preadolescent males are at higher risk.

C. SCFE is not typically associated with a tall, thin body type. This description is more characteristic of other orthopedic conditions, such as Marfan syndrome-related skeletal issues, rather than SCFE.

D. Physical activity alone is not a primary risk factor for SCFE. The condition is largely associated with obesity and rapid growth, not activity level.

A. Ensure a consistent and daily intake of adequate fluids to prevent dehydration. B. Remind to avoid immunizations to prevent the introduction of bacteria into the body. C. Suggest the child participate in sports activities without restriction. D. Treat upper respiratory infections with over-the-counter medication.

Correct Answer is A

Explanation

A. Hydration is essential because dehydration increases blood viscosity, promoting sickling of red blood cells and vaso-occlusion. Parents should be instructed to encourage regular fluid intake throughout the day, even when the child does not feel thirsty. Proper hydration helps prevent painful crises and reduces the risk of organ damage.

B. Children with SCA are at increased risk for infections due to functional asplenia. Immunizations are essential to prevent serious infections, such as pneumococcal and meningococcal disease. Avoiding vaccines would increase infection risk.

C. Physical activity should be encouraged but with caution. Children should avoid extreme exertion or high-altitude activities that could lead to hypoxia, dehydration, or fatigue, which can precipitate sickle-cell crises.

D. While mild symptomatic relief may be appropriate, children with SCA require prompt evaluation for infections, particularly fevers, because even minor infections can trigger complications. Self-treatment without medical guidance may delay critical interventions.

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A nurse is preparing a presentation for a parent group about media and the school-aged child. Which of the following statements should be included in the presentation?

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