A nurse in a community clinic is caring for a client who requests assistance with smoking cessation. The nurse should expect a prescription for which of the following medications?

Rationale:

A. Insert the oral thermometer in front of the infant's tongue: Oral temperature measurement is not appropriate for infants due to the risk of injury and their inability to hold the thermometer properly. It is generally reserved for children older than 4–5 years.

B. Pull the pinna of the infant's ear forward before inserting the probe: When using a tympanic thermometer for infants under 3 years, the correct method is to pull the pinna down and back, not forward, to straighten the ear canal.

C. Insert the probe 3.8 cm (1.5 in) into the infant's rectum: This depth is too invasive and risks rectal perforation. For infants, rectal insertion should be only 1.5 to 2.5 cm (0.6–1 in), with extreme caution.

D. Place the tip of the thermometer under the center of the infant's axilla: Axillary temperature is the safest and most noninvasive route for infants. Ensuring full skin contact under the center of the axilla provides the most accurate axillary reading.

Rationale:

• Prenatal anemia: Anemia may impair immune function and tissue oxygenation, making the postpartum client more vulnerable to infections such as endometritis, especially after cesarean delivery.
• Polyhydramnios: Excessive amniotic fluid stretches the uterus beyond normal capacity, which can impair uterine contractility postpartum, increasing the risk of uterine atony and resulting in subinvolution or hemorrhage.
• High parity: Multiple previous pregnancies lead to uterine muscle fatigue, reducing tone and contractility, which predisposes the uterus to poor involution and increases the risk of uterine atony.

• Prolonged rupture of membranes: A rupture lasting more than 18 hours increases the risk of ascending bacterial infection and is a significant risk factor for postpartum endometritis or chorioamnionitis.