A nurse is discussing contraceptives with an adolescent who has disabilities. The adolescent has difficulty with motor movements and decreased memory. Which of the following birth control methods would be most appropriate for this child?

A. "You must breastfeed to give the baby the best nutrients." While breastfeeding provides essential nutrients, it is not recommended for mothers with HIV due to the risk of viral transmission through breast milk, even if the mother is on antiretroviral therapy.

B. "Breastfeeding is not recommended because of the high risk of transmission." HIV can be transmitted through breast milk, and health organizations, including the WHO and CDC, advise against breastfeeding if safe alternatives, such as formula feeding, are available. Formula feeding is the preferred method in high-resource settings.

C. "Pumped breastmilk may be given to your child." Pumping does not eliminate HIV from breast milk. The virus remains present, posing the same transmission risk as direct breastfeeding.

D. "You should sterilize your pumped breastmilk prior to feeding." There is no reliable method for sterilizing breast milk at home that effectively eliminates HIV without destroying its nutritional value. Instead, formula feeding or donor milk from screened sources is recommended.

A. Activity. Encouraging physical activity is not appropriate for a preschooler experiencing acute pain, as movement may worsen discomfort or delay healing. Rest is often more beneficial in managing pain from an injury.

B. Warm compress. A warm compress can help relieve muscle tension and improve blood flow, reducing pain perception in certain injuries, such as sprains or muscle aches. It is a safe and effective non-pharmacological intervention for preschoolers.

C. Opioids. Opioids are not the first-line treatment for mild to moderate acute pain in children due to the risk of side effects such as respiratory depression and dependence. Less potent pain management options should be used first.

D. Acetaminophen. Acetaminophen is a safe and effective analgesic for managing mild to moderate pain in children. It helps reduce discomfort and is commonly used for injuries, fevers, and post-procedural pain.

E. Guided imagery. Guided imagery is a distraction technique that can help preschoolers manage pain by shifting focus away from discomfort. Simple visualizations, like imagining a favorite place or a comforting scenario, can be effective.

F. High protein diet. While a high-protein diet supports tissue healing, it does not provide immediate pain relief. Nutritional support is important for recovery but is not a direct intervention for acute pain management.