Parents of a school-age child with hemophilia ask the nurse, "Which sports are recommended for children with hemophilia?" Which sport should the nurse recommend?

Choice A rationale:
Inspiratory stridor. Inspiratory stridor, a high-pitched sound heard during inhalation, is a common symptom of acute epiglottitis. It is caused by the swelling and inflammation of the epiglottis, which can partially obstruct the airway and create a stridor sound during breathing.
Choice B rationale:
Complete obstruction. Using a tongue depressor to examine the throat of a child with acute epiglottitis can potentially lead to a complete airway obstruction. The epiglottis, which is already swollen, can block the airway entirely, leading to respiratory distress and potentially a life-threatening situation.
Choice C rationale:
Sore throat. A sore throat is a common symptom of various respiratory tract infections, including acute epiglottitis. However, the use of a tongue depressor can worsen the swelling and potentially lead to complete airway obstruction, which is a more immediate concern.
Choice D rationale:
Respiratory tract infection. Acute epiglottitis itself is a severe respiratory tract infection, specifically involving the epiglottis. Using a tongue depressor might exacerbate the condition, leading to airway obstruction, but it is not the cause of the respiratory tract infection.

Choice A rationale:

An Apgar score of 10 at 1 minute after birth indicates that the infant is in excellent condition, adjusting well to extrauterine life, and requires no further testing or interventions at that moment. The Apgar score assesses the baby's heart rate, respiratory effort, muscle tone, reflexes, and color, with a maximum score of 10. An Apgar score of 10 suggests that the baby is pink, has a heart rate above 100 beats per minute, exhibits strong cries, has active motion, and demonstrates good muscle tone.

Choice B rationale:

An Apgar score of 10 does not indicate severe distress requiring resuscitation. A low Apgar score (typically below 7) at 1 minute may prompt further evaluation and interventions to support the baby's transition to extrauterine life.

Choice C rationale:

While a high Apgar score is reassuring, it does not predict a future free of neurologic problems. The Apgar score assesses the baby's current condition and provides a snapshot of their overall well-being at birth.

Choice D rationale:

Although the Apgar score is assessed at 1 and 5 minutes after birth, a score of 10 at 1 minute suggests that the baby is doing well at that moment. However, the baby should still be assessed again at 5 minutes to ensure continued stability and appropriate interventions if necessary.