A child with pertussis has frequent coughing spells but is currently breathing comfortably between episodes. Which instruction is most appropriate for the parents?
Correct answer: A. Offer small frequent feeds and observe for breathing difficulty
- A. Offer small frequent feeds and observe for breathing difficulty
- B. Force a large feed after every coughing episode
- C. Give cough suppressant medicine without medical advice
- D. Place the child flat immediately after feeding
Explanation
Small frequent feeds can reduce exhaustion and vomiting during pertussis, while close observation may detect cyanosis or apnoea. Large feeds and lying flat after feeding can increase choking or vomiting risk.
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About Common Childhood Illnesses
Common childhood illnesses include acute respiratory infections, diarrhoeal disease, dehydration, measles, mumps, chickenpox, pertussis and worm infestations. The subject focuses on causes, signs, transmission, assessment, prevention and nursing care, especially distinguishing pneumonia from less severe respiratory infection and classifying dehydration by clinical findings.
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