A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Which of the following findings should the nurse expect?

A. To facilitate bonding between the newborn and parent. This is correct. Antibiotic ophthalmic ointment, typically used to prevent neonatal conjunctivitis, can temporarily blur the newborn's vision. Delaying its application for a short period allows the newborn to maintain eye contact with the parent during the critical bonding period immediately following birth.

B. To allow manifestations of infection to be identified. This is incorrect. The purpose of the antibiotic ointment is to prevent neonatal conjunctivitis caused by gonorrhea or chlamydia, which may not present with immediate symptoms. Delaying its application to observe for signs of infection would not be appropriate.

C. The newborn's weight is not a determining factor for delaying the instillation of antibiotic ophthalmic ointment.

D. The mode of delivery, whether vaginal or cesarean, does not affect the timing of antibiotic ophthalmic ointment instillation.

Rationale:

A. Polyuria is not a common adverse effect of opioid analgesics administered via epidural block.

B. Bilateral crackles are not typically associated with opioid analgesics administered via epidural block.

C. Hyperglycemia (high blood sugar levels) is not a common adverse effect of opioid analgesics administered via epidural block.

D. Hypotension is a common adverse effect of opioid analgesics administered via epidural block. Opioids can cause peripheral vasodilation and decreased systemic vascular resistance, leading to a drop in blood pressure.