An 18-hour-old infant with hyperbilirubenemia is placed under phototherapy bank lights. Which of the following is an appropriate intervention for this infant?

A. Requiring the mother to call the nurse for all diaper changes does not address the potential child abuse concern.

B. Safety education is important but does not take priority over mandatory reporting of suspected abuse.

C. The Morse Fall Scale is used to assess fall risk in hospitalized patients, not for evaluating suspected child abuse.

D. Spiral fractures in non-ambulatory infants require further investigation as they may indicate physical abuse. The nurse is legally required to report suspected abuse to the appropriate authorities for further evaluation.

A. Chest physiotherapy and postural drainage multiple times per day are essential to help clear thick mucus from the lungs and prevent respiratory infections. This statement is correct and does not indicate a knowledge deficit.

B. A high-calorie, high-protein diet is crucial for children with CF because of their increased metabolic demands and poor nutrient absorption. This statement aligns with appropriate dietary management.

C. This statement is incorrect and indicates a need for further education. Children with CF have pancreatic insufficiency, meaning they cannot absorb fats and proteins properly without pancreatic enzyme replacement therapy (PERT), regardless of their appetite or stool patterns. Enzymes should be taken with all meals and snacks to aid digestion and improve nutrient absorption.

D. Exercise, such as playing outside, is beneficial for lung function and overall well-being in children with CF. Physical activity helps loosen mucus in the lungs and promotes airway clearance.