A nurse is caring for a toddler who has von Willebrand disease. The toddler's parents are concerned about the bleeding risk with vaccinations. Which of the following is accurate information the nurse should share with the parents?

A. Toddlers with bleeding disorders should only receive one vaccine at a time due to the risk of bleeding at injection site: While spacing vaccines is not necessary solely for bleeding risk, precautions such as using smaller needles, applying firm pressure after injection, and choosing appropriate injection sites are recommended. Receiving multiple vaccines is generally safe. B. Toddlers with von Willebrand disease should only receive vaccines available as nasal sprays to avoid bleeding from intramuscular injections: Nasal vaccines are limited in availability and type. Intramuscular vaccines can still be safely administered with proper technique and post-injection pressure, making this recommendation unnecessary and restrictive. C. Toddlers with bleeding disorders are encouraged to stay up-to-date on vaccinations. The benefit of vaccinations outweighs the risk of bleeding: Maintaining the routine vaccination schedule protects children with bleeding disorders from serious infections. With proper precautions, the risk of bleeding at injection sites is minimal and manageable. D. Toddlers with bleeding disorders should not receive any vaccinations, because the risk of bleeding outweighs the benefit of the vaccinations: Avoiding vaccines exposes the child to preventable infectious diseases. Careful technique and monitoring allow safe vaccination without withholding protection.