A nurse is providing teaching to the parent of an infant who has been diagnosed with osteogenesis imperfecta type 1. Which of the following statements made by the parent shows that the nurse's teaching has been effective?

"I will handle my baby gently and avoid pay activities that could cause fractures."

"It is likely with this type of the disorder that my child will not survive to adulthood."

"My child will be very small compared to their peers."

"My child's joints did not properly develop, which will cause problems with dislocated joints."

Answer and Explanation

The Correct Answer is A

A. "I will handle my baby gently and avoid play activities that could cause fractures.": Osteogenesis imperfecta type 1 is the mildest form, characterized by fragile bones and an increased risk of fractures. Gentle handling and careful planning of activities are key preventive measures to protect the infant from injury, reflecting effective understanding of care.

B. "It is likely with this type of the disorder that my child will not survive to adulthood.": Type 1 is the mildest form, and affected individuals typically have a normal life expectancy. Believing survival is severely limited indicates a misunderstanding.

C. "My child will be very small compared to their peers.": While some mild stature reduction may occur, significant short stature is more characteristic of moderate to severe forms, not type 1.

D. "My child's joints did not properly develop, which will cause problems with dislocated joints.": Joint malformations and dislocations are not a hallmark of type 1 OI; bone fragility is the primary concern.

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Correct Answer is B

Explanation

A. "Your child can participate in activities like riding a bike, but they should not participate in sports.": Restricting all sports unnecessarily limits the child’s physical activity and social development when cardiac function is stable after ASD repair.

B. "Your child can participate in team sports as tolerated.": After successful surgical repair and with stable cardiac function, children with repaired ASDs can generally participate in physical activity and team sports according to their tolerance, with monitoring for symptoms such as fatigue or shortness of breath.

C. "Your child cannot participate in any sports.": Complete restriction is not warranted for a child with a repaired ASD who has no residual cardiac issues, and may negatively impact overall health and psychosocial well-being.

D. "Your child can participate in only individual sports, no team sports.": Limiting participation to individual sports is unnecessary if the child has fully recovered and has no exercise restrictions, as team sports can be safely tolerated.

A. "Preschool-aged children thrive on routine, so you shouldn't change their eating." B. "As long as they're getting the appropriate calories, you don't need to change their diet." C. "Preschool-aged children are finicky eaters, so there isn't much you can do except provide what they will eat." D. "You can offer different foods for them to choose from to provide variety."

Correct Answer is D

Explanation

A. "Preschool-aged children thrive on routine, so you shouldn't change their eating.": While routine is important, offering a variety of healthy foods within that routine helps promote balanced nutrition rather than maintaining the same limited options.

B. "As long as they're getting the appropriate calories, you don't need to change their diet.": Focusing only on calories overlooks the importance of nutrient quality, variety, and balanced food groups, which are critical for growth and development at this age.

C. "Preschool-aged children are finicky eaters, so there isn't much you can do except provide what they will eat.": Labeling children as finicky may discourage proactive strategies; parents can influence dietary habits through structured choices and positive reinforcement.

D. "You can offer different foods for them to choose from to provide variety.": Allowing children to choose from a variety of healthy options encourages autonomy, supports positive eating behaviors, and exposes them to new tastes and nutrients, which aligns with evidence-based recommendations for preschool nutrition.

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A nurse is providing teaching to the parent of an infant who has been diagnosed with osteogenesis imperfecta type 1. Which of the following statements made by the parent shows that the nurse's teaching has been effective?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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