A nurse is reinforcing teaching about injury prevention with the parents of a toddler.
Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Rationale:

A) A hemangioma is a benign vascular tumor commonly found in infants and is not indicative of physical maltreatment.

B) A burn with splash marks, especially in a patterned distribution, raises suspicion of physical abuse and should be reported immediately for further evaluation.

C) A large, irregular, brownish-blue area on the infant's buttock may indicate bruising, but further assessment is needed to determine the cause.

D) An abrasion on the back of the infant's arm may be due to accidental injury and does not necessarily indicate physical maltreatment, although it warrants further assessment and documentation.

Rationale:

A) Watching cartoons with peers may increase the risk of transmitting varicella- zoster virus to other children who may not be immune, as well as expose the child to potential infections from other sick children.

B) Pulling a wagon of stuffed animals in the hallway is too strenuous for a child with pneumonia.

C) Writing a letter to send to a friend may be an appropriate activity for a child with pneumonia, but it involves sitting still for an extended period, which may not be as beneficial as a more physically engaging activity.

D) Playing an alphabet flashcard game with the parent is appropriate for a 4-year-old child's cognitive development and does not require physical exertion or exposure to other children who might be susceptible to varicella zoster infection.