The caregiver of a child with sickle cell disease asks the nurse how much fluid her child should have each day after the child goes home. In response to the caregiver’s question, the nurse would explain that for the child with sickle cell disease, it is best that the child have:

300 to 800 ml of fluid per day.

1500 to 2,000 ml of fluid per day.

2,500 to 3,200 ml of fluid per day.

1,000 to 1,200 ml of fluid per day.

Answer and Explanation

The Correct Answer is B

Choice A reason: 300-800 ml/day is too low for a child with sickle cell disease, risking dehydration and sickling crises. 1500-2000 ml maintains hydration, making this insufficient and incorrect compared to the adequate fluid intake needed to prevent complications in the child’s home care.

Choice B reason: 1500-2000 ml/day ensures adequate hydration for a child with sickle cell disease, reducing blood viscosity and sickling risk. This aligns with pediatric hematology guidelines for preventing crises, making it the correct fluid intake recommendation for the caregiver to support the child’s health at home.

Choice C reason: 2500-3200 ml/day exceeds typical needs for a child, risking fluid overload without added sickle cell benefit. 1500-2000 ml is optimal, making this excessive and incorrect compared to the recommended fluid range for managing sickle cell disease effectively at home.

Choice D reason: 1000-1200 ml/day is below the optimal range for a child with sickle cell disease, increasing dehydration and crisis risk. 1500-2000 ml better supports hydration, making this inadequate and incorrect compared to the fluid intake needed to prevent sickle cell complications.

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Correct Answer is D

Explanation

Choice A reason: Assuming the girlfriend is overly dependent lacks evidence and may alienate the teen. Encouraging balance with schoolwork while respecting his relationship fosters autonomy, making this judgmental and incorrect compared to supporting his developmental need for relationships while ensuring academic responsibilities are met.

Choice B reason: Imposing a strict schedule assumes immaturity and undermines a 16-year-old’s autonomy, potentially causing resistance. Allowing girlfriend time after schoolwork respects his developmental stage, making this overly controlling and incorrect compared to fostering independence while addressing the parents’ concerns about his behavior.

Choice C reason: Discouraging an intimate relationship ignores the 16-year-old’s developmental need for close bonds, which is normal. Permitting girlfriend time post-schoolwork balances responsibilities, making this restrictive and incorrect compared to supporting his social growth while ensuring he meets academic and extracurricular obligations.

Choice D reason: At 16, forming close relationships is a key developmental task for future adult bonds. Allowing girlfriend time after schoolwork respects his identity while addressing parental concerns, aligning with adolescent psychosocial development, making this the best suggestion to balance his needs and responsibilities effectively.

A. As the child grows, the gross and fine motor skills increase. B. The child’s nervous system is fully developed at birth. C. The child has underdeveloped gross motor skills and well-developed fine motor skills. D. The child has underdeveloped fine motor skills and well-developed gross motor skills.

Correct Answer is A

Explanation

Choice A reason: As children grow, their nervous system matures, improving gross (e.g., walking) and fine (e.g., writing) motor skills through myelination and neural connections. This aligns with pediatric neurology development milestones, making it the most correct statement about the child’s nervous system and motor skill progression.

Choice B reason: The nervous system is not fully developed at birth; it matures through childhood with ongoing myelination and synaptic growth. Motor skill development reflects this, making this incorrect compared to the accurate depiction of progressive skill improvement in children as the nervous system matures.

Choice C reason: Children develop gross motor skills (e.g., crawling) before fine motor skills (e.g., grasping), not the reverse. Both skills improve with growth, making this incorrect, as it misrepresents the developmental sequence of motor skill acquisition in the child’s nervous system development.

Choice D reason: Fine motor skills are less developed than gross motor skills in early childhood, but both improve with growth. Stating gross skills are well-developed oversimplifies, making this incorrect compared to the comprehensive statement about both skills increasing with nervous system maturation in children.

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The caregiver of a child with sickle cell disease asks the nurse how much fluid her child should have each day after the child goes home. In response to the caregiver’s question, the nurse would explain that for the child with sickle cell disease, it is best that the child have:

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The parents of a 16-year-old male are worried about recent changes in his behavior, ignoring his schoolwork and sports, and spending almost all of his free time interacting with his girlfriend. Which suggestion should the nurse point out would best address this situation?

Correct Answer is D

Explanation

What information is most correct regarding the nervous system of the child?

Correct Answer is A

Explanation

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