Four-year-old Stevie was born with heart disease. He is small for his age, mildly cyanotic, and tires easily. He is also curious, active, and very social
His caregivers have told the nurse that they often see him taking breaks in his play, squatting for a few minutes, or sitting on the sidelines. When they notice these behaviors, they make him take a nap. Stevie is very resistant to stopping his play and taking a nap. Which of the following statements would be appropriate for the nurse to make to Stevie's caregivers?
A) "It's important to limit Stevie's physical exertion, so it is good to bring him inside when you think he needs to rest."
B) "Children are often aware of their limitations, and since Stevie has shown that he knows when he needs to take a break, he should be encouraged to control his own activity level."
C) "Stevie might do well with a scheduled 15-minute break for every 30 minutes of active play."
D) "Stevie might not need to nap, but it would be sensible to call him in so that you can check his pulse if he squats or takes a rest."
B
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