The nurse is providing discharge instructions to the parents of a 2-year-old child who had an orchiopexy to correct cryptorchidism. Which statement by the parents indicate that further teaching is necessary?

A. "I will have to feed my baby formula, rather than breast milk." - This statement indicates a misunderstanding. Breast milk is generally preferred for infants with gastroesophageal reflux (GER) because it is more easily digested and less likely to exacerbate reflux symptoms compared to formula. Breastfeeding mothers may be encouraged to continue breastfeeding, and formula-fed infants may benefit from specialized formulas designed to reduce reflux symptoms.

B. "I should move my baby into a side-lying position during sleep." - This statement indicates a misunderstanding. Placing an infant in a side-lying position during sleep is not recommended due to the risk of sudden infant death syndrome (SIDS). Instead, infants with GER should be placed on their back to sleep, as recommended by safe sleep guidelines. Elevating the head of the crib or bassinet slightly may also help reduce reflux symptoms during sleep.

C. "My baby's formula can be thickened with oatmeal." - This statement indicates an understanding of the teaching. Thickening formula with oatmeal or rice cereal can help reduce gastroesophageal reflux (GER) symptoms in infants by making the formula heavier and less likely to reflux back into the esophagus. However, this should only be done under the guidance of a healthcare provider to ensure proper preparation and feeding technique.

D. "I will keep my baby in an upright position after feedings." - This statement indicates an understanding of the teaching. Keeping the baby in an upright position after feedings can help reduce reflux symptoms by allowing gravity to keep the stomach contents down. Parents can hold the baby upright on their shoulder or in an infant seat for a period of time after feeding to minimize reflux episodes.

A. "You will need to take the entire prescription of antibiotics even if your symptoms improve."

Atopic dermatitis is not typically treated with antibiotics, as it is not caused by a bacterial infection. Therefore, this statement is not relevant and would not be included in the teaching.

B. "The doctor will remove the lesions with liquid nitrogen."

Liquid nitrogen is not typically used to remove lesions associated with atopic dermatitis. Atopic dermatitis lesions are usually managed with topical treatments and other measures to reduce inflammation and itching. Therefore, this statement is not accurate and would not be included in the teaching.

C. "The doctor might recommend an antihistamine to help control your symptoms."

Antihistamines may be prescribed to help relieve itching associated with atopic dermatitis. Itching is a common symptom of atopic dermatitis, and antihistamines can help reduce this symptom. Therefore, this statement is relevant and would be included in the teaching.

D. "You can relieve your child's discomfort by applying warm compresses to the lesions."

Warm compresses can exacerbate itching associated with atopic dermatitis by increasing blood flow.