Orthopaedic Nurses Certification Board (ONCB) Metabolic/Inflammatory/Tumors Practice Exam

What activity is most suitable for a 3-year-old with juvenile arthritis to promote muscle exercise?

1. Blocks

2. Board games

3. Collections

4. Bicycling

The correct answer is: Blocks

Promoting muscle exercise in a 3-year-old with juvenile arthritis requires activities that are gentle and supportive of their physical limitations while still engaging them in playful ways. Blocks are an excellent choice because they encourage fine motor skills, hand strength, and coordination without placing undue stress on their joints. Playing with blocks allows the child to sit comfortably and work within a limited range of motion, ensuring that they can participate without exacerbating any pain or discomfort associated with their condition. The activity can be adapted to their needs, such as allowing them to build structures from a seated position or using larger blocks for easier handling. In contrast, other options may not provide the same balance of fun and physical engagement. Board games require prolonged sitting, which might not involve any active muscle engagement, and collections are typically sedentary activities that don’t contribute to muscle exercise. Bicycling can be beneficial but might pose challenges for a child with juvenile arthritis, particularly if they are not comfortable with the physical demands or find it difficult to maneuver. Thus, activity with blocks is most suitable for a young child with juvenile arthritis, combining elements of play, muscle engagement, and adaptability to their capabilities.