A nurse is caring for a child who has sickle cell anemia.
Which of the following findings is the priority for the nurse to report to the provider?

The correct answer is Choice A.

Choice A rationale

Providing a doll for the 3-year-old child to imitate parental behaviors helps the child understand and adjust to the new role of being an older sibling. It allows the child to practice nurturing behaviors and can reduce feelings of jealousy or displacement by involving them in the care of the newborn.

Choice B rationale

Preparing the child for a change in all of their routines can be overwhelming and may cause unnecessary stress. It is more effective to maintain as much consistency as possible in the child’s routine while gradually introducing changes related to the new sibling.

Choice C rationale

Telling the child that they will now have a new playmate may create unrealistic expectations. A newborn is not immediately capable of playing, and this statement may lead to disappointment and frustration for the 3-year-old.

Choice D rationale

Waiting for the newborn to come home before moving the 3-year-old from the crib to a bed can create a sense of displacement and jealousy. It is better to make this transition well before the newborn’s arrival to allow the older child to adjust to the change independently of the new sibling.

The correct answer is Choice C.

Choice A rationale

Viral conjunctivitis does not require droplet precautions as it is primarily spread through direct contact with eye secretions.

Choice B rationale

Pediculosis capitis (head lice) does not require droplet precautions as it is spread through direct contact with infested hair or personal items.

Choice C rationale

Seasonal influenza requires droplet precautions as it is spread through respiratory droplets when the infected person coughs, sneezes, or talks.

Choice D rationale

Hepatitis A does not require droplet precautions as it is primarily spread through the fecal-oral route. .