A patient is to be discharged in a plaster spica cast. Which statement would indicate the need for further teaching with the patient's parent?

Choice A rationale:

Inquiring about pain after surgery is a normal concern for a mother, but it doesn't necessarily indicate successful progress in attachment. It shows concern for the baby's well-being, but attachment involves more emotional and bonding aspects.

Choice B rationale:

Expressing joy in seeing the baby empty her formula bottle during feeding demonstrates an emotional connection and maternal satisfaction with providing for the infant's needs. This suggests successful attachment and bonding between the mother and baby.

Choice C rationale:

Concerns about the scar from surgery indicate the mother's focus on the physical appearance of the baby, which is not the primary marker of successful attachment. It reflects a different aspect of the mother's thoughts and emotions.

Choice D rationale:

Noting similarities in physical features doesn't necessarily indicate a deeper attachment. While it's a natural observation, attachment involves more emotional bonding than just physical resemblances.

Choice A rationale:

While monitoring the total white blood cell count is important, it is not the priority assessment for a child with Hirschsprung disease. The disease primarily affects the gastrointestinal system.

Choice B rationale:

Serum potassium level within the normal range (4.2 mEq/L) is relevant, but it doesn't take precedence over assessing symptoms directly related to Hirschsprung disease.

Choice C rationale:

Nonbilious vomiting could indicate a bowel obstruction, a potential complication of Hirschsprung disease. Prompt assessment is necessary to prevent further complications.

Choice D rationale:

Watery diarrhea might occur in Hirschsprung disease, but it's not as urgent as addressing vomiting, which could indicate a more immediate problem like bowel obstruction.