A nursing student asks a pediatric intensive care nurse why being ...

[dejastew]

A nursing student asks a pediatric intensive care nurse why being bed-bound for several weeks would affect a young child's growth and development. Which response by the nurse is the most appropriate?
 
  A.
  A child on bedrest has depression, slowing development.
  B.
  Bedrest causes muscle weakness that limits activity.
  C.
  Growth and development are highly connected to activity.
  D.
  Isolation from peers has a negative effect on growth.

Question 2

A child is hospitalized with anemia and critically low hemoglobin. The health-care provider orders a blood transfusion. The parents won't sign the consent form even though they have been told that without it, their child will die.
 
  What does the pediatric intensive care nurse understand about this situation?
  A.
  Legally permissible to give the transfusion against the parents' objections
  B.
  Legally permissible to give the transfusion after getting an emergency court order
  C.
  Not legally permissible to give the transfusion if both parents are in agreement
  D.
  Not legally permissible to give the transfusion if the parents won't sign the consent

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Answer to Question 1

ANS: C
In all children, but especially younger ones, growth and development are tightly bound to activity and movement. Children who have their movement restricted for medical purposes often regress in their developmental stage. The other options are all part of this reaction, but do not explain the phenomenon as comprehensively as the correct option.

Answer to Question 2

ANS: A
Under Section 24 of the Human Tissue Act 1982, a medical practitioner who gives a child a transfusion against the express wishes of the parents is not committing a criminal offense. The transfusion must be for a condition the child actually has, and it must be the case that without the transfusion the child will likely die.