A nurse is contributing to the plan of care of a 14-month-old toddler who is 24 h postoperative following a cleft palate repair. Which of the following interventions should the nurse include in the plan?

A. "I will restrict the amount of salt in my child's meals."

Restricting salt intake is not typically recommended for children with cystic fibrosis (CF). In fact, individuals with CF often have increased salt requirements due to excessive salt loss through sweat. Restricting salt intake could potentially lead to electrolyte imbalances. Therefore, this statement does not demonstrate an understanding of the dietary management necessary for CF.

B. "I will put my child in daycare to ensure that she socializes with other children."

While socialization is important for a child's development, placing a child with CF in daycare may increase their risk of exposure to respiratory infections, which can be particularly dangerous for individuals with CF due to their compromised respiratory function. Therefore, this statement does not demonstrate an understanding of the infection control measures necessary for managing CF.

C. "I will make sure my child washes her hands before eating.”

This statement demonstrates an understanding of infection control measures, which are crucial for individuals with CF to reduce the risk of respiratory infections. Washing hands before eating helps prevent the transmission of bacteria and viruses that can cause respiratory infections. Therefore, this statement indicates an understanding of an important aspect of managing CF.

D. “I will provide low-fat meals for my child."

Providing low-fat meals is not typically recommended for children with CF. CF often leads to malabsorption of fats, so a diet high in calories and fat is typically recommended to ensure adequate nutrition and weight gain. Therefore, this statement does not demonstrate an understanding of the dietary recommendations necessary for managing CF.

A. Coloring book with crayons:

Coloring activities with crayons are typically more suitable for older children who have developed fine motor skills and hand-eye coordination. At 10 months old, infants are still in the early stages of motor development and may not have the dexterity to hold and manipulate crayons effectively. Additionally, infants at this age are more likely to put objects in their mouths, which poses a choking hazard with crayons.

B. Large-piece puzzles:

Puzzles with large pieces can be beneficial for older children's cognitive development by promoting problem-solving skills and hand-eye coordination. However, at 10 months old, infants are still developing their motor skills and may not have the ability to manipulate puzzle pieces effectively. Puzzles with small pieces can also pose a choking hazard for infants.

C. Crib gym:

A crib gym is a suitable toy for a 10-month-old infant as it provides opportunities for visual stimulation, reaching, grasping, and hand-eye coordination development. Crib gyms typically consist of hanging toys or objects that the infant can bat at or grasp while lying in their crib or playpen. This type of toy encourages exploration and interaction while ensuring safety within the confines of the crib.

D. Put-in take-out toy:

Put-in take-out toys involve placing objects into a container and then removing them, which can be engaging for infants. However, while this type of toy may provide some entertainment for a 10-month-old, it may not offer as much visual and tactile stimulation as a crib gym. Additionally, some put-in take-out toys may have smaller parts that pose a choking hazard for infants, so careful supervision is necessary.