A nurse is collecting data from a newborn who has shoulder dystocia. The nurse should identify which of the following findings as an indication of pain?

A. The initial DTaP vaccine is typically administered to infants at 2 months of age as part of the routine childhood vaccination schedule recommended by the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP). This vaccine is crucial for protecting infants against diphtheria, tetanus, and pertussis.
B. While DTaP vaccination is important, it is usually administered at 2, 4, and 6 months of age, with booster doses given later in childhood. Therefore, a 4-month-old infant would have already received the initial dose by this time.
C. Similarly, a 6-month-old infant would have already received the initial dose of the DTaP vaccine at 2 months of age, as part of the recommended vaccination schedule.
D. By 15 months of age, the child would have completed the primary series of DTaP vaccination and would be due for a booster dose rather than the initial vaccine.

Rationale for A: Straining during bowel movements can increase intraocular pressure, which is harmful for clients recovering from glaucoma surgery. Using stool softeners helps prevent constipation and reduces the risk of increased intraocular pressure.

Rationale for B: Avoiding bright sunlight is not necessary for postoperative care after laser surgery for glaucoma. The use of protective eyewear or sunglasses when outdoors may be recommended, but altering work shifts is not typically advised.

Rationale for C: While eye drops are essential in managing glaucoma, the duration of their use will depend on the client’s condition and follow-up appointments. Long-term use is often required, but the exact duration is individualized.

Rationale for D: A low-protein diet is not a typical part of postoperative care for glaucoma. Dietary restrictions related to glaucoma typically focus on maintaining overall health, but protein intake is not specifically restricted.