The child life specialist is preparing a 6-year-old child for a magnetic resonance imaging (MRI) scan. Which statement reflects the use of atraumatic principles when explaining the procedure?

Choice A reason: Referring to the MRI as an x-ray is inaccurate, as MRI uses magnetic fields, not radiation. This misstatement can confuse a 6-year-old and does not address fears or explain the procedure, failing to use atraumatic principles that prioritize clear, honest, and reassuring communication to reduce anxiety.

Choice B reason: Stating the MRI is safe and painless is partially correct but vague, lacking specific details to prepare the child. Atraumatic principles emphasize explaining what to expect (e.g., noises, confinement) to reduce fear, making this statement less effective than one addressing sensory experiences directly.

Choice C reason: Explaining that the MRI produces loud noises but is not painful prepares the 6-year-old for the sensory experience, reducing fear of the unknown. This honest, specific reassurance aligns with atraumatic principles, minimizing psychological trauma by setting clear expectations and ensuring the child feels safe during the procedure.

Choice D reason: Stating the child will be left alone is inaccurate and anxiety-provoking, as staff monitor MRI scans. Atraumatic principles prioritize comfort and reassurance, avoiding statements that increase fear of abandonment. This statement fails to provide accurate, supportive information, making it inappropriate for preparing the child.

Choice A reason: Excessive crying for 8 hours daily in an 8-week-old is not typical and may indicate colic or other issues. While some crying is normal, this duration suggests a need for evaluation, as conditions like colic or gastrointestinal discomfort require assessment, making this response incorrect.

Choice B reason: Prolonged, inconsolable crying for 8 hours daily in an 8-week-old is characteristic of colic, defined as crying for more than 3 hours daily, 3 days weekly, for 3 weeks. Consulting a pediatrician ensures proper evaluation for colic or other causes, making this the appropriate nurse response.

Choice C reason: Inadequate feeding may cause crying, but assuming this without assessment is inappropriate. Excessive crying is more likely due to colic or other issues like reflux or allergies. Increasing formula without evaluation risks overfeeding or missing underlying conditions, making this an incorrect response.

Choice D reason: While serious illness is possible, excessive crying in an 8-week-old is more commonly due to colic or benign causes. Immediate emergency room referral without assessing other symptoms (e.g., fever, lethargy) is overly alarming and not the first step, making this response less appropriate than pediatric consultation.