Which of the following are characteristics of conservation in school-aged children? (Select All that Apply.)
Thinking that cutting a sandwich into more pieces means there is more food
Believing that pouring water from a short, wide cup into a tall, narrow cup increases the amount of water
Understanding that the amount of a substance remains the same even if its appearance changes
Recognizing that a ball of clay can be flattened and rolled back into a ball without changing its amount
Believing that a taller, narrower glass contains more liquid than a shorter, wider glass
Correct Answer : C,D
A. This reflects a lack of understanding of conservation, as cutting a sandwich does not increase the quantity of food.
B. This belief shows a misunderstanding of conservation, where children may not recognize that the volume remains constant regardless of the container's shape.
C. Understanding that the amount of a substance remains the same even if its appearance changes is a key characteristic of conservation.
D. Recognizing that a ball of clay can be flattened and rolled back into a ball without changing its amount also demonstrates an understanding of conservation.
E. This belief indicates a misunderstanding of conservation, as the amount of liquid does not change based on the height or width of the container.
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Correct Answer is B
Explanation
A. Tricuspid atresia typically leads to decreased pulmonary blood flow due to the absence of normal blood flow to the lungs.
B. Patent ductus arteriosus results in increased pulmonary blood flow because it allows blood to flow from the aorta to the pulmonary artery, increasing the volume of blood going to the lungs.
C. Coarctation of the aorta can cause decreased blood flow to the lower body, which may not directly relate to increased pulmonary blood flow.
D. Tetralogy of Fallot is characterized by decreased pulmonary blood flow due to right ventricular outflow obstruction, making it not associated with increased pulmonary blood flow.
Correct Answer is A
Explanation
A. Furosemide is a loop diuretic that can cause potassium loss; therefore, it is essential for the child to eat potassium-rich foods to prevent hypokalemia.
B. Taking furosemide at bedtime is not advisable due to the increased risk of nocturia and sleep disturbances from frequent urination.
C. Aspirin is not recommended without medical guidance, especially for children, as it can increase the risk of Reye's syndrome.
D. Expecting swelling in the hands and feet contradicts the purpose of furosemide, which is to reduce fluid overload; parents should report any unexpected swelling to the healthcare provider.