A nurse is caring for a child with hearing impairment. Which action should the nurse prioritize to support the child’s communication development?

A. Postpartum infection: While all postpartum clients are at some risk for infection, this typically develops later and is not immediately associated with a large infant or the first few hours after birth.

B. Retained placental fragments: Retained placental tissue can cause bleeding and infection, but careful inspection of the placenta after delivery usually rules this out. There is no indication in the scenario that fragments remain.

C. Thrombophlebitis: Thromboembolic risk increases postpartum, especially with immobility, obesity, or a history of thrombosis. Although this client may have some risk factors, immediate concern in the first hours postpartum is more directly related to uterine tone.

D. Uterine atony: Delivery of a macrosomic infant (9 lb 6 oz) increases the risk of uterine overdistention, which can lead to poor uterine contraction and uterine atony. Uterine atony is the most common cause of early postpartum hemorrhage and requires close monitoring and intervention.

A. Toddlers engage in parallel play: Between ages 1 and 3, toddlers typically play alongside peers without direct interaction, known as parallel play. This allows them to observe and imitate social behaviors while developing motor skills and independence, which is developmentally appropriate for this age group.

B. Toddlers engage in cooperative play: Cooperative play, where children actively interact, share, and collaborate toward a common goal, usually emerges in the preschool years around ages 3–4. Toddlers generally lack the cognitive and social maturity for sustained cooperative play.

C. Toddlers do not engage in play outside the home: This statement is inaccurate, as toddlers naturally explore environments both inside and outside the home. Outdoor play provides sensory stimulation, gross motor development, and opportunities for social observation.

D. Toddlers engage in solitary play: Solitary play is more characteristic of infants and very young toddlers under 12 months. By 1–2 years, most toddlers begin engaging in parallel play rather than playing entirely alone.