The nurse interviews Millie's parent. Indicate if the parent's statements demonstrate actions that are helpful or not helpful in promoting Millie's growth and development.

Rationale:

A. Change to 15 compressions and 2 ventilations when the second rescuer arrives: The 15:2 ratio is correct for two-rescuer CPR in children, but it is not the immediate priority if an AED is not yet available. Early defibrillation greatly improves survival rates in pediatric cardiac arrest.

B. Send the second rescuer to get an AED: Obtaining an AED as soon as possible is essential in any cardiac arrest because shockable rhythms may be present even in children. Early defibrillation significantly increases the chances of return of spontaneous circulation, making this the most urgent step before implementing two-rescuer CPR techniques.

C. Continue 30 compressions and 2 ventilations. Trade between the two rescuers when one gets tired: Switching rescuers helps maintain high-quality compressions, but delaying retrieval of an AED reduces the chance of effective defibrillation. This approach maintains CPR quality but does not address the time-sensitive need for early rhythm analysis and possible shock delivery.

D. Have the second rescuer observe the quality of CPR and offer corrections as needed: Monitoring CPR quality is important, but it should occur after essential equipment like the AED is brought to the scene. Assigning the second rescuer to observe instead of retrieving the AED overlooks the critical role of defibrillation in improving pediatric cardiac arrest outcomes.

Rationale:
A. Administer a daily multivitamin to Millie until her food intake increases: A multivitamin may be helpful for some toddlers, but it does not address the underlying need for balanced nutrition through food. Relying on supplements may lead the parent to overlook mealtime strategies that encourage healthy eating behaviors during this key developmental stage.

B. Don’t worry about food intake as long as Millie is taking an adequate amount of milk: Excessive milk intake can displace iron-rich foods, increasing the risk for iron-deficiency anemia, making this advice unsafe and inappropriate as a dietary approach.

C. Buy child-sized utensils and teach Millie how to use them: Using appropriate utensils supports fine-motor development and mealtime independence, but this strategy does not specifically target improving nutritional intake.

D. Offer Millie multiple nutritious finger foods at each meal: Toddlers are naturally picky eaters, so providing small portions of healthy, easy-to-eat finger foods encourages exploration while ensuring access to balanced nutrients. This approach supports autonomy, increases intake of varied foods, and promotes healthy eating habits.