A nurse is providing teaching to a client who has gastritis. Which of the following instructions should the nurse include in the teaching?

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. The toddler should consume 3 meals and 2 snacks per day: Toddlers typically require small, frequent meals and snacks throughout the day to meet their nutritional needs and support their growth and energy levels.
B. The toddler should drink no more than 3 cups of fat-free milk each day: Fat-free milk is not recommended for toddlers under 2 years because they need dietary fat for brain development; whole milk is usually advised until age 2.
C. The toddler should consume 1500 calories per day by age 2: While caloric needs increase as the child grows, the average caloric requirement at 12 months is approximately 900 to 1000 calories; 1500 calories is more appropriate for older toddlers closer to 2 years.
D. The toddler should be provided adult-size portions starting at 3 years of age: Toddlers require smaller portion sizes than adults, and portion sizes should be age-appropriate; adult portions are generally too large and unnecessary at this age.