Final answer:
A nurse should exclude vital signs from the observations of a child's general appearance and instead focus on the child's nutritional status, behavior with parents, and hygiene.
Step-by-step explanation:
When recording the general appearance of a child, a nurse should eliminate vital signs from the observations. This is because vital signs, although important for assessing a child's health, are not part of their general appearance. Observations pertinent to the general appearance include the impression of the child's nutritional status, behavior and interactions with parents, and hygiene and cleanliness. These observations can provide crucial information about a child's well-being and development.