A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?

A. Apply oxygen at 10 L/min via venturi mask:
Anticipated: Applying oxygen is an appropriate action, especially during labor, to ensure adequate oxygenation for both the mother and the fetus.

B. Increase the oxytocin infusion to 13 mu/min:
Anticipated: Adjusting the oxytocin infusion rate may be considered based on the progress of labor and the response to the current infusion rate. This action is anticipated but should be done cautiously and in accordance with established protocols.

C. Initiate a bolus of primary IV fluids:
Anticipated: Initiating a bolus of primary IV fluids is appropriate, especially if there are signs of dehydration or if additional hydration is needed during labor.

D. Perform a sterile vaginal examination (SVE):
Anticipated: Performing a sterile vaginal examination is appropriate to assess cervical dilation, effacement, and station. This information helps in monitoring the progress of labor and making decisions about interventions.

E. Place the client in a side-lying position:
Anticipated: Placing the client in a side-lying position is an appropriate action. This position can enhance fetal oxygenation and blood flow, especially if there are concerns about fetal well-being.

The correct instruction is C. "Check the temperature of your baby's bath water with your hand."

Explanation:

A. "You can share your room with your baby for the next few weeks": This is a recommended practice. The American Academy of Pediatrics (AAP) recommends room-sharing without bed-sharing for at least the first six months and ideally for the first year of a baby's life. It promotes safe sleep and reduces the risk of Sudden Infant Death Syndrome (SIDS).

B. "Cover your baby with a light blanket while sleeping": This instruction is not recommended. The AAP advises against using loose bedding, including blankets, in the sleep environment to reduce the risk of SIDS. It is safer to use sleep sacks or wearable blankets if additional warmth is needed.

C. "Check the temperature of your baby's bath water with your hand": This is the correct instruction. It is essential to ensure that the bathwater is not too hot to prevent burns. Checking with the hand is a practical way to assess the water temperature before placing the baby in the bath.

D. "Your baby can nap in the car seat during the daytime": While napping in a car seat during travel is acceptable, it is not recommended for routine or prolonged sleep. The upright position in a car seat may compromise the baby's airway, increasing the risk of breathing difficulties. It's advised to transfer the baby to a flat, firm sleep surface for regular naps.