You are teaching a group of preschool teachers what to do when a child has a seizure.
Your teaching plan should include which of the following?
Insert a padded tongue blade in the child's mouth to prevent biting the tongue.
Position the child in a sitting position to help keep the airway open.
Initiate rescue breathing as soon as seizure activity begins.
Move objects that the child might strike out of the way.
The Correct Answer is D
Choice A rationale
Inserting a padded tongue blade or any object into the mouth during a seizure is strictly contraindicated as it can cause injury, such as chipping teeth, lacerating gums, or triggering severe jaw clenching, potentially causing airway obstruction or aspiration, which outweighs the risk of the child biting their tongue.
Choice B rationale
Positioning a child in a sitting position during a generalized seizure is dangerous because it provides no support and increases the risk of head injury and aspiration. The child should instead be placed on the floor in a side-lying position, known as the recovery position, to facilitate drainage of oral secretions and maintain a patent airway.
Choice C rationale
Initiating rescue breathing is inappropriate as soon as seizure activity begins, because the child is often breathing but may have irregular or shallow respirations. Interventions should focus on safety and maintaining a patent airway by positioning. Rescue breathing is only indicated if the child stops breathing after the seizure, not during the ictal phase.
Choice D rationale
Moving objects out of the way is the most important immediate safety measure during a tonic-clonic seizure. This action protects the child from striking hard, sharp, or hot objects in the immediate vicinity during uncontrolled, involuntary movements, preventing trauma such as head injury or fracture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Astigmatism is an irregular curvature of the cornea or lens, which causes light rays to focus unevenly on the retina, resulting in distorted or blurred vision at any distance. The primary treatment for astigmatism is the use of corrective lenses, such as eyeglasses or contact lenses, not therapeutic eye patching.
Choice B rationale
Hyperopia, or farsightedness, occurs when the light focuses behind the retina because the eyeball is too short or the cornea is too flat, causing difficulty seeing objects up close. This condition is primarily managed by prescribing convex corrective lenses to help shift the focal point onto the retina.
Choice C rationale
Myopia, or nearsightedness, occurs when the light focuses in front of the retina because the eyeball is too long or the cornea is too steep, causing blurry distance vision. The standard treatment involves concave corrective lenses to diverge light rays and properly position the focal point on the retina.
Choice D rationale
Amblyopia, commonly called "lazy eye," is a reduction in visual acuity in one eye that results from the eye and brain not working well together, often caused by untreated strabismus or refractive errors. Patching the strong eye forces the brain to use the weaker, amblyopic eye, stimulating the development of the neural pathways necessary for clear vision.
Correct Answer is C
Explanation
Choice A rationale
Feeding problems are a common, non-specific finding in early childhood and can be related to many different issues, such as poor latch, reflux, or developmental delays, and are not exclusively indicative of a genetic disorder like Down syndrome. Therefore, this observation is not specific enough to confirm a genetic etiology.
Choice B rationale
Nasal congestion and excess mucus are very common signs of upper respiratory infections or allergic rhinitis in young children. These findings reflect an inflammatory or infectious process in the nasal passages and are not recognized as a primary or specific physical characteristic of a genetic disorder.
Choice C rationale
Low-set ears are a recognized dysmorphic feature or minor congenital anomaly that is often associated with various syndromes, particularly those involving chromosomal abnormalities like Down syndrome, as they reflect atypical fetal development of the first and second branchial arches. Lobe creases, while a potential finding, are less specific than low-set placement.
Choice D rationale
Wheezing suggests obstruction or narrowing in the lower airways, typically associated with conditions like asthma, bronchiolitis, or foreign body aspiration. This is a respiratory symptom related to inflammation and bronchospasm and is not a typical, pathognomonic physical finding of a common genetic disorder.
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