A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider.

Which of the following findings should the nurse include in the teaching

The correct answer is choice A. “I can give you information about respite care if you are interested.” Respite care is a service that provides short-term inpatient care for terminally-ill patients at a professional care facility, such as a hospital, hospice inpatient care facility, or nursing home. It is meant to relieve caregiver stress and offer them rest and time away from caregiving duties. Respite care is covered by Medicare for up to five consecutive days and no more than one respite period in a single billing period.

The nurse should offer this option to the son who is experiencing sleep deprivation due to caring for his mother.

Choice B is wrong because it suggests that the son should rely on medication to cope with his situation, which may not be appropriate or effective.

Sleeping pills may have side effects or interactions with other drugs, and they do not address the underlying cause of the son’s stress and fatigue.

Choice C is wrong because it does not acknowledge the son’s need for support or assistance.

It may sound like an empty compliment or a dismissal of the son’s concerns.

The nurse should express empathy and compassion, but also provide information and resources that can help the son.

Choice D is wrong because it does not offer any solution or guidance to the son.

It may also sound like a cliché or a generalization that does not reflect the son’s unique experience.

The nurse should avoid making assumptions or judgments about the son’s feelings or situation, and instead focus on his needs and preferences.

Hypertonicity is a sign of increased muscle tone and stiffness, which can indicate that the newborn is experiencing withdrawal from methadone exposure in utero. Methadone is an opioid medication that can cross the placenta and cause neonatal abstinence syndrome (NAS) in the newborn.

Choice A, acrocyanosis, is wrong because it is a normal finding in newborns.

Acrocyanosis is a bluish discoloration of the hands and feet due to immature peripheral circulation. It usually resolves within the first 24 to 48 hours of life.

Choice B, bradycardia, is wrong because it is not a typical sign of withdrawal.

Bradycardia is a slow heart rate, usually less than 100 beats per minute in newborns. It can be caused by hypoxia, hypothermia, hypoglycemia, or vagal stimulation.

Choice C, bulging fontanels, is wrong because it is a sign of increased intracranial pressure, not withdrawal. Bulging fontanels can be caused by meningitis, hydrocephalus, or hemorrhage.

Normal ranges for newborn vital signs are as follows:

• Heart rate: 120 to 160 beats per minute
• Respiratory rate: 30 to 60 breaths per minute
• Temperature: 36.5 to 37.5°C (97.7 to 99.5°F)
• Blood pressure: 60 to 80 mm Hg systolic and 40 to 50 mm Hg diastolic