A nurse is caring for a pediatric client receiving radiation therapy to the abdominal area. Which of the following statements by the nurse promotes proper skin integrity for the client?

A. "I will start sending my toddler to daycare once the baby is born." Introducing major changes, like starting daycare, immediately after a new sibling's arrival may cause stress and feelings of rejection. If a change is necessary, it should be introduced well before the baby arrives to allow the toddler time to adjust.

B. "I will anticipate that my toddler might demand to have their pacifier again once their sibling is born." Regression is a common response in toddlers when a new sibling arrives. They may return to earlier behaviors such as wanting a pacifier, asking to be bottle-fed, or having potty-training setbacks. Parents should offer reassurance and patience rather than discouraging these behaviors.

C. "I will tell my toddler now about the date their sibling will arrive." Toddlers have a limited understanding of time, so telling them too early can lead to confusion and anxiety. Instead, parents should introduce the idea gradually and use tangible events (e.g., "When the leaves start falling, the baby will be here").

D. "I will tell my toddler the baby will be their new playmate." A newborn will not be an immediate playmate, and telling a toddler this may lead to disappointment or frustration. Instead, parents should explain that newborns need a lot of care but will grow and play later.

A. "The obstruction will be treated with a medication called indomethacin." Indomethacin is used to close a patent ductus arteriosus (PDA), not to treat coarctation of the aorta. Instead, prostaglandins may be used temporarily to keep the ductus arteriosus open and improve blood flow until surgery.
B. "Surgical repair is the recommended treatment for infants younger than 6 months old." Coarctation of the aorta does not resolve on its own and requires surgical intervention, typically within the first few months of life. Options include resection with end-to-end anastomosis or balloon angioplasty in some cases.
C. "The cardiologist will monitor your infant closely until they are able to receive treatment with a heart transplant." Heart transplant is not the standard treatment for coarctation of the aorta; surgery or catheter-based intervention is the preferred approach.
D. "Most cases resolve spontaneously without treatment by 12 months of age." Coarctation of the aorta does not resolve on its own. If left untreated, it can lead to heart failure, hypertension, and other complications.