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A 5 yrs old having loose motion, has adequate urine output and is playful. What should you do?
Question

A 5 yrs old having loose motion, has adequate urine output and is playful. What should you do?

A.

Give ORS to drink

B.

Start IV fluids

C.

Stop feeding

D.

All of these

Correct option is A


Sol. A child with loose motion who is active, alert, and passing urine normally is showing no signs of severe dehydration. As per IMNCI, such children should be managed with home-based oral rehydration using ORS, along with continued feeding to avoid nutritional loss.
Explanation of each option:
· (a) Give ORS to drink – Correct answer. This is the first and best line of management in mild or no dehydration. ORS helps restore lost electrolytes.
· (b) Start IV fluids – This is required only in severe dehydration, when the child is lethargic or unable to drink. It is not needed here.
· (c) Stop feeding – Wrong and harmful. Feeding should be continued during diarrhoea to maintain nutrition and recovery.
· (d) All of these – Incorrect, because only option (a) is appropriate. The other actions are either unnecessary or dangerous.

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