A nurse is providing education to the family of a school aged child who has a history of atrial septal defect (ASD) with surgical repair. The child's caregivers ask the nurse if their child can play sports. Which of the following statements made by the nurse is most appropriate?
"Your child cannot participate in any sports."
"Your child can participate in team sports as tolerated."
"Your child can participate in activities like riding a bike, but they should not participate in sports."
"Your child can participate in only individual sports, no team sports."
The Correct Answer is B
A. "Your child cannot participate in any sports." This is overly restrictive. After successful ASD repair and medical clearance, most children may resume age-appropriate activities.
B. "Your child can participate in team sports as tolerated." Following surgical repair and physician clearance, children are usually allowed to participate in sports per their tolerance and without blanket restrictions unless there are complications.
C. "Your child can participate in activities like riding a bike, but they should not participate in sports." This unnecessarily limits activity; moderate-to-vigorous activities and team sports are generally allowed if the child is asymptomatic and cleared.
D. "Your child can participate in only individual sports, no team sports." There’s no specific contraindication to team sports after ASD repair; recommendations depend on the child’s clinical status, not team-versus-individual sport.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clear and slippery: A few days before ovulation cervical mucus becomes thin, clear, stretchy and slippery (egg-white type) to facilitate sperm movement -this is the peak fertile mucus.
B. Thin and white: Thin, white discharge is more characteristic of nonfertile or early-cycle mucus and does not indicate peak fertility.
C. Cloudy and tacky: Cloudy, tacky mucus suggests less fertile conditions and typically occurs outside the ovulatory window.
D. Scant and thick: Scant, thick mucus is typical during the infertile phases of the cycle and is not associated with imminent ovulation.
Correct Answer is B
Explanation
A. "Stop taking the pills and switch to a different contraceptive method.": Stopping and switching is not the routine immediate response to a single missed combined pill in week 1; instructions generally focus on taking the missed pill and short-term backup if needed.
B. "Take the missed dose now, then continue the medication as ordered.": For a missed combined oral contraceptive pill in the first week, guidance is to take the most recent missed pill as soon as possible (even if that means taking two pills in one day), continue the pack as usual, and use backup contraception or abstain until 7 consecutive days of pills have been taken; emergency contraception may be considered if there was unprotected sex.
C. "Take a home pregnancy test.": A pregnancy test is not the immediate action for a single missed pill in week 1 unless there are other indications (for example, missed multiple pills and unprotected intercourse some time earlier) -the immediate step is to take the missed pill.
D. "Do not have vaginal intercourse until after your next period.": While abstaining until effective contraception is restored (7 consecutive days of pills) or using backup is recommended, “until after your next period” is unnecessarily restrictive and not the standard instruction.
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