A nurse is contributing to the plan of care for a child who has nephrotic syndrome and a prescription for corticosteroids. Which of the following interventions should the nurse recommend?

A: By the age of 7, most children have a grasp of days and dates as part of their routine. However, not being able to verbalize the date does not necessarily indicate a developmental delay, as it could be related to the child's learning environment or educational opportunities.

B: Counting backwards is a skill that develops with age and practice. A 7-year-old may struggle with this task due to various reasons such as lack of practice, but it is not a definitive sign of a developmental delay.

C: Making change involves complex cognitive skills including math, understanding of money value, and transactions, which may still be developing in a 7-year-old. This skill varies widely among children and is influenced by their experiences with money.

D: The ability to distinguish right from left is a developmental milestone typically achieved by the age of 5 to 6 years. Persistent difficulty in telling the difference between right and left at the age of 7 could suggest a developmental delay in spatial awareness.

Rationale:

A) It's important to burp a baby mid-feed and after the feed to prevent discomfort, especially for a baby with a cleft lip.

B) Using a wide-based nipple may be more appropriate for a baby with a cleft lip to help with proper latch and feeding.

C) Holding the baby in an upright position during feedings can help prevent milk from entering the nasal passages, which is important for babies with cleft lip.

D) Encouraging the baby to maintain relaxed cheeks during feeding may not be applicable for a baby with a cleft lip, as proper positioning and latch are more critical.