Diabetes in pregnancy puts the fetus at risk in several ways.
Nurses should be aware that:.

Choice A rationale:
It is not inappropriate because of the child's age. Simple magic tricks, especially those using familiar items like gauze, can capture the attention and cooperation of young children. Age-appropriate distractions can be highly effective in engaging pediatric patients during medical procedures.
Choice B rationale:
Using a simple magic trick with gauze is a way to establish rapport with the child. Children often respond well to creative and playful approaches, making them feel more comfortable and cooperative during medical procedures. Establishing rapport is crucial for gaining trust and ensuring a positive healthcare experience.
Choice C rationale:
It is not too distracting when cooperation is important. Distractions, when used judiciously, can enhance cooperation during medical procedures. The key is to strike a balance between engaging the child and ensuring the procedure's effectiveness. A simple magic trick with gauze is generally not overly distracting and can be a helpful technique in pediatric nursing.
Choice D rationale:
Adequate time is important, but the appropriateness of the magic trick is not solely dependent on time. While having adequate time is beneficial for implementing creative approaches, the effectiveness of using a magic trick depends more on the nurse's skill, the child's response, and the overall context of the situation.

Choice A rationale:

Afterbirth hemorrhage, or postpartum hemorrhage (PPH), is a significant concern after childbirth. One of the common causes is retained placental fragments. When placental tissue is not completely expelled after delivery, it can lead to continuous bleeding. This condition requires prompt medical intervention, often through uterine exploration and removal of the retained tissue.

Choice B rationale:

Unrepaired vaginal lacerations can cause bleeding, but they are usually identified and repaired immediately after delivery. In this case, the woman gave birth 4 hours ago, so unrepaired lacerations would have been addressed during the delivery process.

Choice C rationale:

Uterine atony, which is the lack of normal uterine muscle tone, can cause postpartum hemorrhage. However, in this scenario, the woman was given Pitocin, which is an oxytocic medication used to prevent or treat uterine atony by inducing uterine contractions. Therefore, uterine atony is less likely to be the cause in this case.

Choice D rationale:

Puerperal infection, also known as postpartum infection, can cause fever, uterine tenderness, and foul-smelling discharge. While it can lead to complications, it is not the most likely cause of significant bleeding in this situation.