A nurse is caring for a client who is postpartum.
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

Choice A rationale:

Placing the newborn in a prone position is not recommended during phototherapy. The infant should be placed in a supine position to maximize the surface area exposed to the phototherapy lights.

Choice B rationale:

Applying lotion to the newborn's skin can interfere with phototherapy. It's important to keep the baby's skin free from lotions or ointments to ensure the effectiveness of the treatment.

Choice C rationale:

Monitoring the newborn's blood glucose level hourly is not a standard practice during phototherapy. The primary concern during phototherapy is monitoring the infant's bilirubin levels and ensuring proper eye protection.

Choice D rationale:

Monitoring the baby's temperature while on phototherapy is essential. Phototherapy can lead to heat loss, so maintaining the baby's temperature within the normal range is crucial to prevent complications. This choice is the correct answer.

Choice A rationale: Decreased energy is a common symptom during pregnancy, especially in the first and third trimesters. This is typically due to hormonal changes, increased demands on the body, and changes in sleep patterns. While decreased energy can be uncomfortable, it is usually not a sign of a serious problem and does not require immediate medical attention unless it is severe or accompanied by other concerning symptoms.

Choice B rationale: Urinary frequency is another common symptom during pregnancy, caused by hormonal changes and the growing uterus putting pressure on the bladder. This symptom is usually most noticeable in the first and third trimesters. While it can be inconvenient, it is generally not a cause for concern and does not require a call to the healthcare provider unless it is accompanied by pain or other symptoms suggestive of a urinary tract infection.

Choice C rationale: Mood swings are a frequent occurrence during pregnancy due to hormonal fluctuations. Pregnant individuals may experience a wide range of emotions, from happiness and excitement to anxiety and irritability. While mood swings can be challenging to manage, they are typically not a sign of a serious problem and do not necessitate immediate medical attention unless they are severe and impact daily functioning.

Choice D rationale: Facial edema, or swelling of the face, can be a sign of preeclampsia, a serious condition that can occur during pregnancy. Preeclampsia is characterized by high blood pressure and can lead to complications for both the mother and baby if left untreated. Other signs of preeclampsia can include severe headaches, visual disturbances, and rapid weight gain. If a pregnant individual experiences facial edema, it is important to contact their healthcare provider promptly for evaluation and management.