A nurse is making a home visit to a 5-year-old child who has cerebral palsy and uses a wheelchair. Which of the following observations made by the nurse indicates that the family needs support and resources to cope with the child's condition?

Rationale:

A. Excessive juice does not cause constipation, but it can reduce the appetite for other foods.

B. A 15-month-old toddler needs about 500 milligrams of calcium per day to support bone growth and development. Calcium can be found in dairy products, fortified cereals, and leafy green vegetables.

C. Toddlers need approximately 1,000 to 1,300 calories per day to support their rapid growth and development. Therefore, 1500- 1800 calories per day is too much for a toddler.

D. While toddlers may experience changes in appetite, there is no specific age-related sudden increase at 18 months mentioned in nutritional guidelines.

Rationale:

A) Watching cartoons with peers may increase the risk of transmitting varicella- zoster virus to other children who may not be immune, as well as expose the child to potential infections from other sick children.

B) Pulling a wagon of stuffed animals in the hallway is too strenuous for a child with pneumonia.

C) Writing a letter to send to a friend may be an appropriate activity for a child with pneumonia, but it involves sitting still for an extended period, which may not be as beneficial as a more physically engaging activity.

D) Playing an alphabet flashcard game with the parent is appropriate for a 4-year-old child's cognitive development and does not require physical exertion or exposure to other children who might be susceptible to varicella zoster infection.