A nurse is caring for a client who is at 26 weeks of gestation. Which of the following statements indicates the client is having difficulty accepting the body image changes associated with pregnancy?

A. Can be a result of an early bowel obstruction. Hyperactive bowel sounds are characterized by loud, high-pitched, and frequent gurgling or rushing noises. They occur when there is increased intestinal motility, which can be seen in conditions such as gastroenteritis, diarrhea, or the early stages of a mechanical bowel obstruction. As the obstruction progresses, bowel sounds may become hypoactive or absent.
B. No sounds heard after listening for 3 to 5 min. This finding indicates absent bowel sounds, not hyperactive ones. Absent bowel sounds suggest complete bowel obstruction, paralytic ileus, or peritonitis and require immediate medical evaluation.
C. Sounds are soft and at a rate of 1/min. Hypoactive bowel sounds, rather than hyperactive ones, are characterized by infrequent, soft, or sluggish sounds occurring at a rate of less than 5 sounds per minute. Hypoactive bowel sounds are often associated with postoperative recovery, peritonitis, or late-stage bowel obstruction.
D. Indicates decreased motility. Hyperactive bowel sounds indicate increased, not decreased, intestinal motility. Decreased motility is associated with hypoactive or absent bowel sounds, which can occur due to conditions such as ileus, bowel obstruction, or the effects of certain medications, including opioids.

A. "I will bathe my baby under a faucet of running water." Bathing a newborn under a running faucet increases the risk of accidental injury, sudden temperature changes, and loss of control while handling the baby. Instead, a gentle sponge bath or bathing in a small tub with controlled water temperature is recommended.
B. "I will wash my baby's face with a warm, wet washcloth without soap." This is an appropriate practice for newborn care. Using only warm water without soap helps prevent skin irritation, as a newborn’s skin is sensitive and prone to dryness. Special attention should be given to cleaning the eyes, nose, and mouth area gently.
C. "I will give my baby a bath every day." Daily bathing is not necessary for newborns and can lead to skin dryness and irritation. Instead, bathing two to three times per week is sufficient, with daily cleaning of the diaper area, face, and hands as needed.
D. "I will wash my baby's head using a moist towelette." While cleaning the baby’s head is important, a moist towelette is not the best method. The scalp should be gently washed with warm water and a mild baby shampoo to prevent buildup of oils and potential conditions like cradle cap.