A school nurse is assessing a new student who has mild cognitive disabilities who recently relocated from another state. The child's parent is asking the school nurse questions regarding how their child will best be supported at the new school. Which of the following statements made by the nurse is most appropriate?

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. Instruct the parents to provide frequent burping with every ounce of formula and to hold the infant upright for 30 minutes after feeding: Colic in formula-fed infants is often associated with swallowed air and gastrointestinal discomfort. Encouraging frequent burping and upright positioning after feeding helps reduce gas buildup, reflux, and discomfort, directly addressing the newborn’s symptoms.

B. Encourage the parents to use rocking and swaddling to manage colic symptoms without the need to modify feeding techniques: Soothing techniques can help comfort the infant but do not address the underlying feeding-related factors contributing to colic. They are supportive but not the first-line intervention.

C. Recommend switching the infant to a soy-based formula: Formula changes may be considered if burping and positioning are ineffective, but they should not be the first intervention without evaluating feeding practices and tolerance first.

D. Advise the parents to increase the interval between feedings to reduce digestive workload on the infant: Increasing intervals may lead to longer periods of hunger and potential feeding difficulties. Proper feeding techniques and managing gas are safer first interventions for colic symptoms.