Questions: The nurse caring for a child who sustained a burn injury plans care based on which pediatric considerations associated with this injury? Select all that apply. 1 Scarring is less severe in a child than in an adult. 2 A delay in growth may occur after a burn injury. 3 An immature immune system presents an increased risk of infection for infants and young children. Fluid resuscitation is unnecessary unless the burned area is more than 25% of the total body surface area.

The question asks about pediatric considerations when planning care for a child who has sustained a burn injury. Let's evaluate each option:

1. Scarring is less severe in a child than in an adult.
   This statement is generally incorrect. Children can experience significant scarring from burn injuries, and their scars can grow and change as they age, potentially leading to more severe long-term effects compared to adults.

2. A delay in growth may occur after a burn injury.
   This statement is correct. Burn injuries can lead to a delay in growth in children due to the body's increased metabolic demands and the potential for nutritional deficiencies during recovery.

3. An immature immune system presents an increased risk of infection for infants and young children.
   This statement is correct. Infants and young children have immature immune systems, making them more susceptible to infections, especially after a burn injury, which compromises the skin barrier.

4. Fluid resuscitation is unnecessary unless the burned area is more than 25% of the total body surface area.
   This statement is incorrect. Fluid resuscitation is often necessary for burns covering more than 10% of the total body surface area in children, as they are more susceptible to fluid loss and shock due to their smaller body size.

In summary, the correct considerations are:

• A delay in growth may occur after a burn injury.
• An immature immune system presents an increased risk of infection for infants and young children.