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?

Explanation

Choice A Reason:

Abdominal distention is not a typical manifestation of hypoglycemia in newborns. It may indicate other issues such as gastrointestinal discomfort, intestinal obstruction, or excessive gas accumulation.

Choice B Reason:

Jitteriness is correct. Hypoglycemia in newborns can occur, particularly if the mother had gestational diabetes mellitus (GDM). Jitteriness is one of the common manifestations of hypoglycemia in newborns. Other signs may include poor feeding, lethargy, sweating, cyanosis, respiratory distress, and seizures.

Choice C Reason:

Petechiae are small, pinpoint hemorrhages in the skin caused by bleeding under the skin. While petechiae can occur due to various reasons, including neonatal sepsis or birth trauma, they are not typically associated with hypoglycemia.

Choice D Reason:

Increased muscle tone is incorrect. Hypoglycemia in newborns usually presents with decreased muscle tone rather than increased muscle tone. Increased muscle tone is more commonly associated with conditions such as hypocalcemia or central nervous system disorders.

Explanation

Choice A Reason:

Droplet precautions are used for infectious agents that are transmitted through respiratory droplets. These droplets are generated when an infected person coughs, sneezes, or talks. Examples of diseases requiring droplet precautions include influenza, pertussis (whooping cough), and bacterial meningitis. Methicillin-resistant Staphylococcus aureus (MRSA) is not primarily transmitted through respiratory droplets but rather through direct or indirect contact with infected skin or wounds.

Choice B Reason:

Protective environment precautions, also known as reverse isolation, are used to protect immunocompromised clients from acquiring infections from others. This includes clients who have undergone organ transplantation or chemotherapy. MRSA is not an indication for protective environment precautions because it is not typically transmitted via the air or by casual contact.

Choice C Reason:

Airborne precautions are used for infectious agents that remain infectious over long distances when suspended in the air. Diseases requiring airborne precautions include tuberculosis, measles, and chickenpox. MRSA is not transmitted through the airborne route but rather through direct or indirect contact with contaminated surfaces or skin.

Choice D Reason:

Contact precautions are used for infectious agents that are transmitted by direct or indirect contact with the client or their environment. MRSA is primarily transmitted through direct contact with infected skin or wounds, making contact precautions the appropriate choice. These precautions include wearing gloves and gowns when entering the client's room, performing proper hand hygiene, and ensuring that contaminated items and surfaces are cleaned and disinfected appropriately to prevent the spread of infection to others.