A charge nurse is discussing communication techniques to use with a client who has hearing loss with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates the teaching was effective?

A. Perform bimanual fundal massage: Excessive vaginal bleeding postpartum often indicates uterine atony. Performing a bimanual fundal massage helps stimulate uterine contraction, which can reduce hemorrhage. This is a primary and immediate intervention in postpartum bleeding management.

B. Weigh perineal pads: Weighing pads helps quantify blood loss but does not actively stop hemorrhage. While important for assessment and documentation, it is not the first action when the client is actively bleeding.

C. Initiate oxygen at 2 L/min via nasal cannula: Administering oxygen may support tissue oxygenation but does not address the underlying cause of postpartum hemorrhage. Oxygen is supportive care and should not replace interventions to control bleeding.

D. Administer terbutaline: Terbutaline is a uterine relaxant used to treat preterm labor, which would worsen postpartum bleeding by inhibiting uterine contraction. It is contraindicated in cases of active postpartum hemorrhage.

A. Syphilis: Syphilis is a nationally notifiable disease in the United States. Healthcare providers are required to report cases to local or state public health authorities to facilitate disease tracking, outbreak management, and public health interventions.

B. Trichomoniasis: Trichomoniasis is not a nationally notifiable disease. While it is a common sexually transmitted infection, reporting is not required by law at the national level, though some states may have local reporting requirements.

C. Genital herpes: Genital herpes is not nationally reportable because it is highly prevalent and often managed in outpatient settings without mandatory reporting. Surveillance focuses on population studies rather than individual case reporting.

D. Human papillomavirus (HPV): HPV infections are not nationally notifiable. Although HPV is common and associated with cancers, individual cases are not reported to public health authorities. Reporting is limited to cancer registries for HPV-related malignancies.