A nurse is teaching the parents of a 6-year-old child with spina bifida who has been experiencing challenges with mobility and motor coordination due to their condition. The parents ask the nurse for the best ways they can promote the child's development of motor skills to enhance performance of ADLS. Which of the following activities should the nurse recommend?
Explanation & Rationale
A. Children with spina bifida often have motor deficits affecting lower extremities and balance, which can impair performance of activities of daily living (ADLs). The use of wheelchairs, walkers, braces, or adaptive equipment helps the child practice movements safely, develop coordination, and maintain independence, directly promoting motor skill development and functional ability. B. While psychological support can help the child cope with chronic illness, it does not directly enhance motor skill development or performance of ADLs. Psychological support is supportive but secondary to physical interventions for motor coordination. C. Speech therapy is indicated for children with communication or swallowing difficulties, not for motor skill or mobility development related to spina bifida. D. Routine medical follow-ups are important for overall health monitoring, but they do not actively promote motor skill development or ADL independence. Interventions like physical therapy and assistive devices are needed for functional gains.