A nurse is conducting an initial assessment of a newborn delivered with a nuchal cord. What clinical findings should the nurse anticipate?

Choice A rationale
Vaginal candidiasis is not a contraindication for the use of a suppository. Candidiasis is a fungal infection that can cause itching and discomfort in the vaginal area. While it may require treatment, it does not prevent the use of a suppository for constipation.
Choice B rationale

Afterpains are not a contraindication for the use of a suppository. Afterpains are cramping pains that some women experience after childbirth as the uterus contracts back to its pre- pregnancy size. While they can be uncomfortable, they do not prevent the use of a suppository for constipation.
Choice C rationale
A third-degree perineal laceration is a contraindication for the use of a suppository. A third- degree laceration extends through the vaginal wall, perineal skin, and perineal muscles to the anal sphincter. Inserting a suppository could potentially cause further damage or introduce bacteria into the healing wound.
Choice D rationale
Abdominal distention is not a contraindication for the use of a suppository. While abdominal distention can be uncomfortable, it does not prevent the use of a suppository for constipation.

Choice A rationale
The use of an oil-based vaginal lubricant when inserting a diaphragm is not recommended. Oil- based lubricants can damage the material of the diaphragm, reducing its effectiveness as a contraceptive method.
Choice B rationale
Keeping the diaphragm in place for at least 4 hours after intercourse is a standard recommendation. However, it does not address the specific needs of a postpartum woman. After childbirth, the size and shape of a woman’s vagina can change, potentially affecting the fit of the diaphragm.
Choice C rationale

The provider should refit the client for a new diaphragm. After childbirth, the size and shape of a woman’s vagina can change, potentially affecting the fit of the diaphragm. A poorly fitting diaphragm may not provide effective contraception.
Choice D rationale
Storing the diaphragm in sterile water after each use is not a standard recommendation. The diaphragm should be cleaned with mild soap and water, dried, and stored in a cool, dry place.