A 25-year-old patient is considering receiving Depo-Provera 150 mg IM. Which points must the nurse include in her teaching related to this medication?

1. Jitteriness: This can be a sign of hypoglycemia in a newborn, and it may also be seen in Neonatal Abstinence Syndrome (NAS) due to withdrawal symptoms.
2. Lethargy: Lethargy is common in hypoglycemia (due to low energy reserves) and can also be seen in Neonatal Abstinence Syndrome due to withdrawal effects.
3. Poor Feeding: Hypoglycemia may cause poor feeding due to the lack of energy, and Neonatal Abstinence Syndrome can cause feeding difficulties because of withdrawal symptoms.
4. Jaundice: Jaundice is a hallmark sign of Neonatal Jaundice, typically due to elevated bilirubin levels.
5. Loose Stool: Loose stool can be a sign of Neonatal Abstinence Syndrome, as gastrointestinal disturbances are common in withdrawal. It is not typically associated with hypoglycemia or neonatal jaundice.

Choice A rationale

Drying and covering the infant helps prevent heat loss and maintain body temperature, which is essential for newborns immediately after birth.

Choice B rationale

Stimulating the infant to cry helps clear the airways but is usually done after ensuring the respiratory tract is clear.

Choice C rationale

Clearing the respiratory tract is the priority immediately after birth to ensure the newborn can breathe properly and reduce the risk of aspiration.

Choice D rationale

Assessing the umbilical cord is important but not the first priority. Ensuring the airway is clear takes precedence to establish effective breathing. .