A nurse is reinforcing teaching with the parents of a child who has hemophilia about the care of an injury that causes bleeding. Which of the following instructions should the nurse include in the teaching?

A. "My child needs to be given her DTaP and polio immunizations at separate visits." is incorrect. DTaP and polio vaccines can be administered together safely during the same visit without affecting efficacy or increasing adverse effects.

B. "My child will receive her first dose of rotavirus immunization at 6 months of age." is incorrect. The first dose of the rotavirus vaccine should be given at 2 months of age, with subsequent doses at 4 months and possibly 6 months, depending on the vaccine brand.

C. "My child needs to receive the HPV immunization before she starts school." is incorrect. The HPV vaccine is typically recommended around 11 to 12 years of age, but it is not required before starting elementary school.

D. "My child will receive the varicella immunization after 12 months of age." is correct. The first dose of the varicella vaccine is administered at 12 to 15 months of age, with a second dose given at 4 to 6 years of age.

A. A 6-year-old child who is toilet trained and bedwetting is not necessarily indicative of maltreatment. Regression in behavior, such as bedwetting, may occur due to stress or developmental changes, but it can also be related to other factors like illness or changes in routine.

B. An 18-month-old child who has several bruises on their shins is concerning. While some bruises are normal in children, particularly active toddlers, multiple bruises or bruises in unusual areas (such as the torso, ears, or neck) or in various stages of healing may indicate physical abuse. A careful assessment is needed to determine if the bruises are accidental or inflicted.

C. An 8-month-old infant who has stranger anxiety is a typical developmental milestone. Stranger anxiety often occurs between 6 to 9 months of age, and it is a normal part of infant development as they begin to differentiate between familiar and unfamiliar people.

D. A 1-year-old child who kicks and screams when their parent leaves is also a normal behavior at this stage of development. Separation anxiety typically peaks between 8 to 14 months of age and is considered a normal emotional response.