A nurse is assessing a newborn who is 2 hr old. Which of the following findings is an indication of hypoglycemia? (Select all that apply.)

A. Is your partner pressuring you to have sex?: While addressing issues of coercion or pressure in a relationship is important, this question may be more suited for a broader discussion about the client's overall well-being and relationships. It might be premature if the client is specifically seeking information about contraception.

B. What do you know about contraception?

This question aims to assess the adolescent's knowledge about contraception. Understanding the client's knowledge level is crucial for providing appropriate education and guidance on birth control options. It allows the nurse to tailor the information to the client's needs, address any misconceptions, and ensure informed decision-making regarding contraceptive choices

C. Why are you requesting a prescription for birth control?: This question may come across as judgmental or intrusive. It's important to approach the discussion in a non-judgmental and supportive manner. Focusing on the client's knowledge level allows for a more educational and collaborative conversation.

D. Are you sure your partner loves you?: This question delves into the emotional aspects of the client's relationship, which, while important, may not be directly relevant to the request for contraception. It's crucial to maintain a respectful and non-judgmental approach to avoid making the client feel uncomfortable.

A. Erythema toxicum: Erythema toxicum is a common and benign rash that appears in the first few days of life. It is characterized by pink or red blotches with a small, pimple-like elevation in the center. It is unrelated to a nuchal cord.

B. Periauricular papillomas: Periauricular papillomas are small skin tags or growths around the external ear. They are not typically associated with a nuchal cord and are unrelated to the newborn's delivery.

C. Facial petechiae: A nuchal cord occurs when the umbilical cord is wrapped around the baby's neck. During delivery, this can lead to pressure on the baby's head and face, resulting in small, pinpoint red or purple spots known as petechiae. These are often seen on the face and neck and are considered a transient and benign finding.

D. Telangiectatic nevi: Telangiectatic nevi, also known as "stork bites" or "angel kisses," are common vascular birthmarks. They are not specifically associated with a nuchal cord but rather represent dilated blood vessels near the surface of the skin.