Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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Parents of a child who has sickle-cell anemia want to know why their child did not have
the first episode until he was approximately one year old. The best reply for the nurse to
make is:
  1. Affected children can be asymptomatic in infancy because of high levels of fetal hemoglobin that inhibit sickling.”
  2. “Have you asked your doctor about this?”
  3. “Your child probably had a crisis and you did not realize it.”
  4. “Are you sure your child has sickle-cell anemia and not sickle-cell trait?”
Explanation
Answer - A - The best reply for the nurse to make is, “Affected children can be asymptomatic in infancy because of high levels of fetal hemoglobin that inhibit sickling.” Children with sickle-cell anemia are often asymptomatic until at least four to six months of age. A crisis is usually precipitated by an acute upper respiratory or gastrointestinal infection.
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