What is the recommended time for a child with varicella to return to school?
After all the blisters have crusted over
After receiving the varicella vaccine
After completing one week of antiviral medication
As soon as the rash appears
The Correct Answer is A
A. A child with varicella (chickenpox) should return to school only after all the blisters have crusted over, indicating that the infectious stage has passed and they are no longer contagious.
B. Receiving the varicella vaccine does not apply to children who already have the infection; vaccination is preventive, not a treatment for those already infected.
C. Completing one week of antiviral medication is not a sufficient criterion for returning to school, as the child may still be contagious until all lesions are crusted.
D. Returning to school as soon as the rash appears is not safe, as the child is highly contagious during the initial rash stage and until all lesions have crusted.
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Correct Answer is C
Explanation
A. Bradycardia is not typically expected in toddlers with heart failure; instead, tachycardia (increased heart rate) is more common as the body compensates for decreased cardiac output.
B. Weight loss is generally not a typical finding in toddlers with heart failure; rather, they often experience weight gain due to fluid retention.
C. Orthopnea, or difficulty breathing when lying flat, is a common symptom of heart failure and would be expected in a toddler due to fluid overload affecting respiratory function.
D. Increased urine output is usually not expected in heart failure; rather, fluid retention often leads to decreased urine output as the kidneys respond to the body's fluid balance needs.
Correct Answer is C
Explanation
A. Solitary play is more characteristic of earlier stages of development, such as infancy and early childhood. School-age children benefit more from social interactions.
B. While academic achievements are important, focusing solely on individual success does not support the social skills that are essential for this developmental stage.
C. Encouraging participation in team sports promotes social interaction, teamwork, and a sense of belonging, which are crucial for developing competence and self-esteem during this stage.
D. Promoting dependence on parents goes against the developmental task of this age group, which is to foster independence and decision-making skills.