A nurse is assisting with planning care for a newborn who is experiencing neonatal abstinence syndrome. Which of the following findings should the nurse expect?

A. Decreased blood pressure: In acute glomerulonephritis, fluid retention and sodium accumulation often lead to hypertension rather than hypotension. Decreased blood pressure would be unusual and could indicate another underlying issue.

B. Pale yellow urine: Clients typically present with hematuria, which causes tea-colored or cola-colored urine, not pale yellow. The discoloration results from red blood cells leaking into the urine due to glomerular inflammation.

C. Periorbital edema: Fluid retention is common in acute glomerulonephritis, particularly in the face and around the eyes. Edema results from decreased glomerular filtration and sodium/water retention, making periorbital swelling a classic and expected finding.

D. Increased urination: Oliguria, or decreased urine output, is more typical in acute glomerulonephritis due to impaired renal function. Polyuria is not usually associated with this condition unless complications like diabetes insipidus are present.

A. Amniotic fluid color: Assessing amniotic fluid color is important to identify meconium-stained or bloody fluid, which can indicate fetal compromise or infection. While this provides valuable information, it does not provide immediate data about fetal well-being, making it secondary to continuous fetal monitoring.

B. The client's temperature: Maternal temperature is monitored to detect infection, especially after rupture of membranes. However, fever develops over time, so it is not the most immediate priority immediately following amniotomy. Early assessment focuses on detecting acute fetal compromise.

C. Frequency of contractions: Monitoring contraction frequency, duration, and intensity is essential for assessing labor progress. While contraction patterns guide labor management, fetal response to contractions is a higher priority after membrane rupture, as sudden changes can affect fetal oxygenation.

D. Fetal heart rate: Fetal heart rate assessment is the priority immediately after an amniotomy because sudden changes in amniotic fluid volume, umbilical cord prolapse, or cord compression can compromise fetal oxygenation. Early identification of decelerations or abnormal patterns allows rapid intervention to prevent fetal injury.