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:

"Place triple antibiotic ointment on your baby's umbilical cord twice daily." Applying triple antibiotic ointment to the umbilical cord stump is not recommended as it can interfere with the natural drying and healing process. Instead, keeping the umbilical cord stump clean and dry is the preferred method of care to prevent infection.

Choice B Reason:

"Offer your baby a pacifier during naps if desired. “This is an appropriate statement to make during discharge teaching for postpartum clients. Pacifiers can help satisfy a baby's natural sucking reflex and may offer comfort, especially during naps or when they are fussy. However, it's important to note that breastfeeding should be well-established before introducing a pacifier to prevent nipple confusion.

Choice C Reason:

"Give your baby an immersion bath daily "Immersion baths, where the baby is submerged in water, are not recommended until the umbilical cord stump has fallen off and the area has completely healed. Until then, sponge baths should be given to keep the baby clean while avoiding submerging the umbilical cord stump in water, which could increase the risk of infection.

Choice D Reason:

"Swaddle your baby with their legs in an extended position." When swaddling a newborn, it's important to keep their legs in a flexed or "froggy" position to allow for healthy hip development. Swaddling with the legs extended can increase the risk of hip dysplasia. Therefore, swaddling should be done with care to ensure the baby's legs are in a safe and comfortable position.

First, convert the total dose to milligrams:

• 2 g = 2000 mg

Then, divide the total dose by the strength of each tablet:

• 2000 mg / 250 mg/tablet = 8 tablets

Rounding the answer to the nearest whole number, the nurse should administer 8 tablets of 250 mg each to provide a total dose of 2 g of metronidazole.