The nurse is teaching a class on child care to new parents. Which instruction should be included about the prevention of rotavirus infection in infants who are starting to eat foods?

Rationale:

A. Obtain temperature assessment prior to aspirin administration: Monitoring temperature is important to evaluate the effectiveness of antipyretics. However, it does not address the risk of fluid imbalance or cardiovascular complications, which are more urgent in Kawasaki disease.

B. Maintain meticulous oral hygiene and lubrication of lips: Oral care helps prevent discomfort from mucous membrane changes such as cracked lips and strawberry tongue. Although important for comfort, it is not the priority during the acute inflammatory phase.

C. Provide passive range of motion exercises: Passive range of motion can prevent joint stiffness due to inflammation. While beneficial, musculoskeletal interventions are secondary to monitoring for complications related to cardiovascular status and hydration.

D. Monitor fluid intake and output and daily weight: Monitoring intake, output, and weight is crucial because Kawasaki disease can cause systemic inflammation, edema, and potential cardiac complications like myocarditis or heart failure. Accurate fluid balance assessment helps prevent worsening cardiac function and guides clinical management in the acute phase.

Rationale:

A. Low back pain with pelvic cramping: Low back pain accompanied by pelvic cramping after amniocentesis may indicate uterine irritation or potential complications such as infection, leakage of amniotic fluid, or initiation of preterm labor. This finding requires prompt assessment and intervention to ensure maternal and fetal safety.

B. Increased fetal movement: Increased fetal movement is generally a reassuring sign of fetal well-being. It does not indicate a complication from the amniocentesis and usually does not require intervention.

C. Epigastric pain: Epigastric pain is more commonly associated with conditions such as preeclampsia or gastrointestinal issues, not a direct complication of amniocentesis. While it should be assessed, it is not the most immediate concern related to the procedure.

D. Headache and blurred vision: Headache and blurred vision are potential signs of preeclampsia or other systemic conditions, but they are not complications of amniocentesis. These symptoms require separate evaluation but are not directly related to the procedure.