A nurse is collecting data from a female client who reports she wants to begin taking oral contraceptives. Which of the following findings is a contraindication for this client?

Choice A Reason:

Attaching a pacifier to the newborn's clothing with a string can be dangerous, as it poses a risk of strangulation. Pacifiers should be used, but they should be the type with a handle designed for infant use.

Choice B Reason:

Placing the newborn face up on a pillow when sleeping is not recommended. The baby should be placed on their back on a firm and flat sleep surface, such as a crib mattress, without pillows, blankets, or other soft bedding items. This helps reduce the risk of sudden infant death syndrome (SIDS).

Choice C Reason:

Placing the newborn's crib near a heat vent during cold weather can lead to overheating, which is a risk factor for SIDS. It's important to maintain a comfortable room temperature for the baby and use appropriate sleep clothing to keep them warm without the need for additional heating devices near the crib.

Choice D Reason:

"I will make sure that I can fit one finger between the mattress and the side of my newborn's crib." This statement indicates an understanding of safe sleep practices for newborns. Ensuring that there is a small gap (about one finger's width) between the mattress and the side of the crib helps prevent the risk of suffocation or entrapment. It allows for proper airflow and reduces the risk of the baby getting stuck between the mattress and the crib.

Choice A Reason:

Suggesting that the client assist with meal planning may be appropriate, but it's not the first priority. Monitoring the client's eating behaviors and safety during meals takes precedence.

Choice B Reason:

Observe the client during and after meals. When caring for a client with bulimia nervosa, the initial priority is to monitor the client during and after meals to assess their eating behaviors and the potential for purging or other disordered eating habits. This helps ensure the client's safety and can provide valuable information for the treatment team. Once immediate safety concerns are addressed, the nurse can proceed with other aspects of care, such as assisting with meal planning, providing education on coping strategies, and referring the client to support groups as appropriate.

Choice C Reason:

Instructing the client about effective coping strategies is an important part of the treatment plan, but it's not the immediate priority. Ensuring the client's safety during meals is more critical initially.

Choice D Reason:

Referring the client to a support group can be a valuable part of long-term treatment, but it's not the first step. Monitoring and addressing immediate eating behaviors and safety come first.