A nurse is caring for a client who has been given methylergonovine intramuscularly for a postpartum hemorrhage. The nurse should monitor for which of the following adverse effects?

A. "You should give your child captopril 200 mg PO daily.": Captopril is an antihypertensive and is not routinely prescribed for Wilms’ tumor unless the child has hypertension. It is not part of standard preoperative management and should not be included in general parent teaching for tumor care.

B. "Your child should have surgery in 7 to 10 days to remove the tumor.": The timing of surgery is individualized based on the child’s condition, staging, and preoperative assessments. Providing a specific timeframe may be inaccurate and cause unnecessary confusion or anxiety.

C. "Your child will not require further treatment after removal of the tumor.": Wilms’ tumor often requires multimodal therapy, including chemotherapy and sometimes radiation, depending on tumor stage and histology. Parents should be aware that surgery alone may not be sufficient for complete treatment.

D. "You should not palpate your child's abdomen prior to surgery.": Palpating the abdomen can risk rupturing the tumor and spreading cancer cells, which could worsen prognosis. Parents should be instructed to avoid abdominal palpation and handle the child gently until surgical removal of the tumor.

A. Place a pillow under the child's head: Protecting the head prevents injury from impact with the floor during the seizure. Using a pillow or folded blanket cushions the head while allowing the seizure to run its course safely.

B. Restrain the child's upper extremities: Restraining movements during a seizure can cause fractures, dislocations, or soft tissue injury. The nurse should allow the seizure to occur naturally while ensuring the environment is safe.

C. Place a padded tongue blade in the child's mouth: Inserting any object into the mouth is unsafe and can cause dental injury, aspiration, or airway obstruction. Current guidelines advise against this practice.

D. Turn the child onto their back: Placing a child supine during a seizure increases the risk of airway obstruction and aspiration. The recommended position is lateral (side-lying) to maintain airway patency and allow secretions to drain.