Deck 19: Physical Activity and Sports for Children and Adolescents

Question 1

The parent of a 12-year-old child who has sickle cell trait (SCT) asks the primary care pediatric nurse practitioner whether the child may play football. What will the nurse practitioner tell this parent?

A) Children with SCT should not play any contact sports.
B) Children with SCT may not play for NCAA schools in college.
C) Children with SCT should follow heat acclimatization guidelines.
D) Children with SCT should not participate in organized sports.

Answer 1

C

Question 2

The parent of a 14-year-old child asks the primary care pediatric nurse practitioner how to help the child prevent injuries when basketball tryouts begin later in the school year. Which recommendation will be of most benefit?

A) Preseason conditioning
B) Proper footwear
C) Protective knee braces
D) Stretching before practices

Answer 2

A

Question 3

The primary care pediatric nurse practitioner is performing a well child examination on a high school age adolescent who plays football who has hypercalciuria. Which dietary supplement will the nurse practitioner question the adolescent about?

A) Protein supplements
B) Salt tablets
C) Sports drinks
D) Vitamin C

Answer 3

A

Question 4

The primary care pediatric nurse practitioner is discussing fitness and exercise with the parents of a 5-year-old child who ask what kinds of activities are developmentally appropriate for their child. What will the nurse practitioner recommend?

A) Bike riding
B) Interactive play
C) Martial arts
D) Organized sports

Question 5

The primary care pediatric nurse practitioner is evaluating a heart murmur during a pre-participation examination of a high school athlete. Which finding would be a concern requiring referral to a cardiologist?

A) A murmur that is louder when squatting and softer when standing
B) A murmur that is quieter when squatting and louder with a Valsalva maneuver
C) A murmur with narrow and variable splitting of S2
D) A systolic murmur that is grade 1 or 2

Question 6

The primary care pediatric nurse practitioner diagnoses a high school basketball player with mononucleosis. The adolescent asks when she may resume play. What will the nurse practitioner tell her?

A) After 3 weeks, she may begin lifting weights but not full sports.
B) After 4 weeks, she may return to full play and practice.
C) At 4 weeks, she must have an exam to determine fitness for play.
D) She may engage in moderate exertion and practice after 3 weeks.

Question 7

The parent of a child newly diagnosed with epilepsy asks the primary care pediatric nurse practitioner if the child will ever be able to participate in gym or sports. What will the nurse practitioner recommend?

A) Bicycle riding is not safe for children with seizures.
B) Contact sports should be avoided.
C) Direct supervision of some activities is necessary.
D) Underwater sports are not recommended.

Question 8

The primary care pediatric nurse practitioner is performing a pre-participation sports physical examination on a 14-year-old male who will be on the wrestling team at school. What will the nurse practitioner include when discussing healthy practices with this adolescent?

A) Risks associated with repeatedly losing and gaining weight
B) The need for an electrocardiogram or echocardiogram prior to participation
C) The need to consume 20 to 30 grams of protein after exercise
D) To consume water with CHO prior to activity lasting up to an hour

Question 9

The primary care pediatric nurse practitioner is discussing lifestyle changes with an adolescent who has hypertension. What will the nurse practitioner recommend about exercise for this client?

A) Regular to vigorous activity initially with a combination of resistance and aerobic exercise to maintain lower blood pressure
B) Moderate daily exercise such as walking for 20 minutes daily with increasing intensity as blood pressure drops
C) Vigorous aerobic exercise combined with maximal strength training to lower blood pressure
D) Vigorous aerobic exercise only to reduce blood pressure and then to maintain lowered blood pressure

Question 10

A 15-year-old female basketball player who has secondary amenorrhea is evaluated by the primary care pediatric nurse practitioner who notes a BMI in the 3rd percentile. What will the nurse practitioner counsel this patient?

A) That amenorrhea in female athletes is not concerning
B) That she should begin a program of plyometrics and strength training
C) To consider a different sport, such as volleyball
D) To work with a dietician to improve healthy weight gain

Question 11

The parent of a high school basketball player tells the primary care pediatric nurse practitioner that the adolescent becomes short of breath only when exercising. What will the nurse practitioner recommend?

A) Permanent discontinuation of all strenuous and aerobic activities
B) Enrollment in a conditioning program to improve performance
C) Evaluation for underlying cardiac causes of this symptom
D) Treatment for exercise-induced asthma with a bronchodilator

Question 12

A 10-year-old is hit in the head with a baseball during practice and is diagnosed with concussion, even though no loss of consciousness occurred. The primary care pediatric nurse practitioner is evaluating the child 2 weeks after the injury and learns that the child is still experiencing some sleepiness every day. The neurological exam is normal. The child and the parent are adamant that the child be allowed to return to play baseball. What will the nurse practitioner recommend?

A) Continuation of cognitive rest only
B) Continuation of physical and cognitive rest
C) Continuation of physical rest only
D) Returning to play

Question 13

The parent of a child who has asthma asks the primary care pediatric nurse practitioner about whether the child may engage in strenuous exercise. What will the nurse practitioner tell the parent?

A) Children with asthma should be excluded from vigorous exercise and most strenuous sports.
B) Children with asthma show improved aerobic and anaerobic fitness with moderate to vigorous/physical activity.
C) Physical activity has been shown to improve overall pulmonary function in children with asthma.
D) Vigorous exercise helps improve symptoms in children with poorly controlled asthma.

Question 14

The primary care pediatric nurse practitioner is offering anticipatory guidance to the parents of a 6-year-old child who has Down syndrome. What will the nurse practitioner tell the parents about physical activity and sports in school?

A) Children with Down syndrome get frustrated easily when engaging in sports.
B) Children with Down syndrome should not participate in strenuous aerobic activity.
C) Their child should have a cervical spine evaluation before participation in sports.
D) Their child should only participate in sports sanctioned by the Special Olympics.