A nurse is reinforcing teaching with a client who is at 24 weeks of gestation and has opioid use disorder. Which of the following statements should the nurse make?

(A) Maternal temperature 36.3°C (101°F):
While maternal temperature elevation can indicate infection, in this scenario, the sudden gush of vaginal fluid takes precedence as it could be indicative of premature rupture of membranes. However, assessing maternal temperature is important for ruling out maternal infection, but it is not the priority manifestation compared to assessing fetal well-being.

(B) Amniotic fluid with meconium noted:
While the presence of meconium in the amniotic fluid is concerning, assessing fetal heart tones is the priority. Meconium-stained amniotic fluid can indicate fetal distress, but the immediate concern is to determine if the fetus is experiencing any compromise or distress by assessing the fetal heart rate.

(C) Fetal heart tones 98/min:
In this scenario, the priority is to assess the well-being of the fetus. Fetal heart tones provide critical information about fetal status, indicating whether the baby is experiencing any distress or compromise. A fetal heart rate of 98 beats per minute (bpm) is within the normal range for a fetus at 34 weeks of gestation. However, any abnormalities or significant deviations from the normal fetal heart rate range may indicate fetal distress, requiring immediate intervention.

(D) Foul-smelling vaginal discharge:
Foul-smelling vaginal discharge can indicate infection, such as chorioamnionitis, which is a concern during pregnancy. However, in this scenario, assessing fetal well-being takes precedence as it is essential to ensure timely interventions to assess and manage any fetal distress.

(A) "You should recognize that your baby sucking on his hands is a hunger cue.":
This statement is correct because babies often show early hunger cues such as sucking on their hands, rooting (turning their head towards the breast or bottle), or making sucking noises. Recognizing these early signs helps ensure that the baby is fed before they become too hungry and upset, making breastfeeding easier and more successful.

(B) "You should feed your baby for 10 minutes on each breast.":
This statement is not entirely accurate because the duration of feeding can vary widely among babies. Some babies may need more time to feed, while others may need less. It's important to allow the baby to feed until they show signs of being satisfied, such as slowing down their sucking or releasing the breast on their own.

(C) "You should feed your baby six times a day.":
Newborns typically need to be fed more frequently than six times a day, often every 2-3 hours, which can amount to 8-12 times in 24 hours. Feeding on demand, rather than following a strict schedule, ensures that the baby gets enough milk and supports the mother's milk supply.

(D) "You should wake your baby at least every 6 hours at night for feedings.":
This statement is not recommended because newborns, especially in the first few weeks, usually need to be fed more frequently than every 6 hours, even at night. It's generally advised to wake the baby for feedings every 3-4 hours if they do not wake up on their own to ensure they receive enough nutrition and maintain adequate growth and hydration