A mother is concerned that her 2-year-old child is having seizures when he holds his breath until he passes out when he wants something his mother does not want him to have. What should the nurse respond to this mother's concern?
A) Seizures rarely occur in toddlers.
B) With seizures, cyanosis rarely develops.
C) Seizures are not provoked; temper tantrums are.
D) Seizures typically occur with fever; temper tantrums do not.
C
Feedback:
Some children hold their breath as part of a temper tantrum until they become cyanotic. Breath holding occurs when a child is provoked; the child develops a distended chest, often has air-filled cheeks, and shows increasing distress as the body registers oxygen want. A seizure cannot be provoked. Seizures can occur in all ages. Cyanosis can occur with seizures. Seizures can occur in those with neurologic problems and not just with a fever.
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