A nurse in a clinic is assessing a 9-month-old infant.
Which of the following findings requires further intervention?

The correct answer is Choice C.

Choice A rationale

Coughing and shortness of breath in the morning are signs of poor asthma control, not well- controlled asthma. These symptoms indicate that the child’s asthma is not being managed effectively and may require adjustments in their treatment plan.

Choice B rationale

This statement is incorrect. If asthma is not controlled, the child is likely to miss more days of school due to asthma symptoms and exacerbations. Effective asthma management aims to reduce symptoms and prevent asthma attacks, allowing the child to attend school regularly.

Choice C rationale

Eliminating allergens that irritate the lungs is a key strategy in preventing asthma attacks. Allergens such as dust mites, pet dander, mold, and pollen can trigger asthma symptoms. By reducing exposure to these allergens, the child can better manage their asthma and reduce the frequency of attacks.

Choice D rationale

This statement is false. Children with well-controlled asthma can participate in sports and physical activities. Physical activity is beneficial for lung function and overall health. The nurse should teach the child how to prevent exercise-induced asthma symptoms, such as using a bronchodilator before exercise.

The correct answer is Choice D.

Choice A rationale

At 10 months, infants are typically able to imitate simple sounds, including animal sounds. This is a normal developmental milestone.

Choice B rationale

Turning pages in a book is a fine motor skill that develops later, around 12 months of age.

Choice C rationale

Building a tower of three or four cubes is a skill that typically develops around 15-18 months of age.

Choice D rationale

By 10 months, infants should be able to sit steadily without support. Inability to do so may indicate a developmental delay.