The nurse is preparing a variety of projects for the pediatric clients on the unit to work on in the playroom. In deciding on projects, the nurse determines the 8-year-old will be best suited to work on which activity?

Choice A reason: Signing a form to bypass pregnancy testing violates isotretinoin safety protocols, risking fetal harm due to teratogenicity. Encouraging testing ensures compliance, making this unsafe and incorrect compared to addressing the caregiver’s concerns while prioritizing the teen’s safety for acne treatment.

Choice B reason: Speaking to the teen alone respects privacy but doesn’t address the caregiver’s refusal or ensure testing compliance, required for isotretinoin. Encouraging testing with the caregiver’s consent is safer, making this inadequate and incorrect compared to securing agreement for mandatory pregnancy testing.

Choice C reason: Acknowledging the caregiver’s discomfort builds trust while emphasizing the necessity of pregnancy testing for isotretinoin’s safe use, preventing fetal harm. This aligns with pediatric medication safety protocols, making it the best action to ensure the 16-year-old can safely receive acne treatment.

Choice D reason: Testing without caregiver knowledge violates consent and trust, risking legal and ethical issues. Encouraging open discussion ensures compliance, making this unethical and incorrect compared to the nurse’s role in facilitating agreement for required pregnancy testing for the teen’s isotretinoin therapy.

Choice A reason: Infancy is marked by rapid physical and skill development, with milestones like crawling and babbling occurring quickly. This aligns with pediatric developmental assessments, making it the correct characteristic for the nurse to monitor, ensuring infants meet critical growth benchmarks during routine evaluations.

Choice B reason: Insisting on independence with dependence reversion is typical of toddlers, not infants, who lack such autonomy. Rapid skill growth defines infancy, making this incorrect, as it describes a later developmental stage rather than the nurse’s focus for infant growth and development assessments.

Choice C reason: Rapid information intake and questioning “why” and “how” characterize preschoolers, not infants, who lack verbal curiosity. Rapid skill development is the infant focus, making this incorrect, as it applies to older children rather than the nurse’s assessment of infant developmental characteristics.

Choice D reason: Increased attention span is seen in older children, not infants, who have short attention spans. Rapid growth and skill acquisition define infancy, making this incorrect, as it does not reflect the developmental characteristics the nurse should assess in infants during pediatric evaluations.