A nurse is reinforcing teaching with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer.
Which of the following statements should the nurse tell the client?

Choice A rationale:

Abdominal pain with minimal red vaginal bleeding is more suggestive of abruptio placentae rather than placenta previa. Placenta previa is characterized by painless vaginal bleeding, and the absence of pain is a key distinguishing factor in its diagnosis. Therefore, this finding does not align with the typical presentation of placenta previa.

Choice B rationale:

Severe abdominal pain with increasing fundal height is not consistent with the typical presentation of placenta previa. Placenta previa is generally associated with painless vaginal bleeding, and fundal height measurements are not typically used to diagnose placenta previa. This finding suggests a different condition, such as abruptio placentae, which involves painful bleeding with a rising fundal height.

Choice D rationale:

Intermittent abdominal pain following the passage of bloody mucus is more characteristic of preterm labor or other conditions, not placenta previa. Placenta previa is primarily associated with painless, bright red vaginal bleeding without contractions or pain. Therefore, this finding does not align with the typical presentation of placenta previa.

Choice A rationale:

Placing the newborn in a prone position is not recommended during phototherapy. The infant should be placed in a supine position to maximize the surface area exposed to the phototherapy lights.

Choice B rationale:

Applying lotion to the newborn's skin can interfere with phototherapy. It's important to keep the baby's skin free from lotions or ointments to ensure the effectiveness of the treatment.

Choice C rationale:

Monitoring the newborn's blood glucose level hourly is not a standard practice during phototherapy. The primary concern during phototherapy is monitoring the infant's bilirubin levels and ensuring proper eye protection.

Choice D rationale:

Monitoring the baby's temperature while on phototherapy is essential. Phototherapy can lead to heat loss, so maintaining the baby's temperature within the normal range is crucial to prevent complications. This choice is the correct answer.