The nurse is preparing a teaching plan for the parents of a child who has been diagnosed with a congenital heart defect. Which of the following would the nurse be least likely to include.

Choice A rationale Education on signs of complications, such as increased respiratory distress, fever, or cyanosis, is crucial because it empowers parents to recognize worsening conditions early. Timely identification and reporting of these changes, which signal possible heart failure progression or infection, are essential for preventing serious adverse outcomes in children with congenital heart defects. Choice B rationale Maintaining adequate nutrition is a major challenge for infants and children with heart defects because they often have increased metabolic demands due to increased work of breathing, coupled with potential fatigue and feeding difficulties. Teaching parents strategies to maximize caloric intake and growth is a fundamental component of the care plan. Choice C rationale Daily weight assessment is a critical non-invasive method for monitoring fluid status in children with heart failure, which is a common complication of congenital heart defects. Unexplained rapid weight gain can signal fluid retention and worsening pulmonary or systemic congestion, requiring prompt medical intervention or medication adjustment. Choice D rationale Maintenance of strict bed rest is generally not indicated or recommended for children with compensated congenital heart defects. Mild-to-moderate activity restrictions are common, but strict bed rest can lead to deconditioning, social isolation, and developmental delays. Activity should be encouraged as tolerated to promote growth and development.