A nurse is providing care to a child who has a new diagnosis of immune thrombocytopenia. Which of the following information regarding implications of the diagnosis should the nurse include in the discharge instructions?

A. Children with a history of thrombocytopenia have a higher incidence of bleeding: Immune thrombocytopenia (ITP) causes a reduced platelet count, increasing the child’s risk for bruising, nosebleeds, and other bleeding events. Education on monitoring for signs of bleeding is essential for safe discharge.

B. Children with immune thrombocytopenia have a lower risk of bleeding: ITP decreases platelet counts, which increases, rather than decreases, the risk of bleeding, making this statement inaccurate.

C. Children with immune thrombocytopenia should not partake in physical activity: While precautions should be taken to avoid activities with high risk of trauma, children can often engage in age-appropriate physical activity under guidance, rather than complete restriction.

D. Thrombocytopenia is a chronic disease in children: Most cases of ITP in children are acute and self-limiting, resolving within months, so labeling it as chronic is inaccurate in most pediatric cases.

A. "I should always place my baby on their belly to sleep to prevent flat spots on the head.": Placing a newborn on their stomach increases the risk of sudden infant death syndrome (SIDS). Supine positioning is recommended for safe sleep, and alternating head positions can help prevent positional plagiocephaly.

B. "I will let my baby sleep in an infant swing because it helps soothe them better.": Sleeping in an infant swing is unsafe due to risk of suffocation or positional asphyxia. Safe sleep guidelines recommend a firm, flat sleep surface in a crib or bassinet without soft objects.

C. "I will feed my baby whenever I see early hunger cues like rooting or sucking on fingers, rather than waiting for the baby to cry.": Responding to early hunger cues supports healthy feeding, promotes bonding, and prevents excessive crying. Feeding on cue ensures the infant receives adequate nutrition and supports growth.

D. "I will wait for my baby to cry before offering a feeding so I can be sure they are hungry.": Crying is a late hunger cue and may indicate that the infant is already distressed. Waiting until crying can make feeding more difficult and may affect feeding success and weight gain.