A nurse is providing nutritional teaching to the guardian of a 12.month.old toddler. Which of the following information should the nurse include?

Rationale for Correct Findings:

• Spontaneous abortion: The client is at 10 weeks gestation with moderate, bright red vaginal bleeding, abdominal cramping, and an open cervix. These findings are classic indicators of an inevitable spontaneous abortion, where pregnancy loss is imminent and cannot be prevented.
• Cervical dilation: Cervical dilation during early pregnancy, especially in the presence of bleeding and cramping, indicates that the pregnancy is not viable. The open cervix confirms the uterus is preparing to expel its contents, consistent with spontaneous abortion.

Rationale for Incorrect Findings:

• Ectopic pregnancy: Ectopic pregnancies typically present with unilateral pelvic pain and are usually associated with lower hCG levels than expected for gestational age. A confirmed intrauterine pregnancy with an open cervix and high hCG makes ectopic pregnancy unlikely.
• Molar pregnancy: Molar pregnancies are characterized by markedly elevated hCG levels, larger-than-expected uterine size, and sometimes passage of grape-like vesicles. The client's symptoms do not fit this profile, making this diagnosis less likely.
• hCG levels: The hCG level of 30,000 IU/L is within the normal range for 10 weeks gestation and does not indicate any problem. It supports a pregnancy of appropriate dating, not necessarily a spontaneous abortion.
• History of chlamydia infections: A history of recurrent chlamydia is a risk factor for ectopic pregnancy due to potential fallopian tube scarring. However, it does not directly support a current diagnosis of spontaneous abortion without additional findings.

A. Wear a dosimeter film badge to measure exposure: The dosimeter badge tracks cumulative radiation exposure to ensure the nurse stays within safe limits. It is essential personal protective equipment when caring for clients undergoing internal radiation therapy.
B. Place a caution sign on the client’s door: A radiation warning sign alerts staff and visitors about the presence of a radioactive source, ensuring they follow safety protocols to minimize unnecessary exposure.
C. Discard bed linens from the client's room at the end of each day: Linens are not contaminated by a sealed implant, as the radiation source is enclosed and does not leak into the environment. Linens should be handled per routine procedure unless visibly soiled.
D. Instruct visitors to remain 61 cm (2 feet) away from the client: Visitors should be instructed to stay at least 6 feet (approximately 183 cm) away and limit visits to 30 minutes. The 2-foot distance is insufficient to ensure safety from radiation exposure.
E. Don a lead apron when providing care: A lead apron helps shield the nurse from radiation exposure when close contact is necessary. It is a standard precaution when interacting with clients who have a sealed radiation source.