A 5-year old boy presents with afebrile generalized tonic-clonic seizure lasting for 5 minutes. Previously he was healthy and had no such problem. On examination there is no abnormality. Your plan of management should be:

Correct Answer: C

Rationale: In a first-time generalized seizure, an immediate EEG and starting anticonvulsant therapy is prudent to prevent recurrence, especially if the EEG shows epileptiform activity.

Correct Answer: B

Rationale: Colic is a frequent cause of sleep difficulties in young infants.

Correct Answer: A

Rationale: Angiotensin-converting enzyme (ACE) inhibitors, such as captopril, work by inhibiting the conversion of angiotensin I to angiotensin II. This leads to vasodilation, reduced aldosterone secretion, and ultimately decreases blood pressure. ACE inhibitors are commonly used in the management of hypertension, heart failure, and post-myocardial infarction. In this case, the nurse should administer captopril as it is an ACE inhibitor, while the other options (B. Furosemide, C. Spironolactone, D. Chlorothiazide) are not ACE inhibitors and have different mechanisms of action.

Correct Answer: C

Rationale: Brain myelinization continues beyond 8 years.

Correct Answer: C

Rationale: Changing formula may not address refusal due to developmental factors.