During a care conference, a nurse shares the latest research on improving breastfeeding success for first-time mothers.
Which Quality and Safety Education for Nurses competency does this action support?

Choice A rationale

A cough and fever in a client at 38 weeks of gestation could indicate an infection, which should be addressed promptly. However, it is not as immediately life-threatening as painless vaginal bleeding at 28 weeks of gestation, which could indicate a serious complication such as placental abruption.

Choice B rationale

Nausea and vomiting at 14 weeks of gestation are common symptoms of early pregnancy and, while uncomfortable, are not usually a sign of a serious problem. This client should be seen, but not before a client with a potentially life-threatening condition like painless vaginal bleeding.

Choice C rationale

Painless vaginal bleeding at 28 weeks of gestation is a serious symptom that could indicate placental abruption, a condition where the placenta detaches from the uterus, which can be life-threatening for both the mother and the baby. This client should be seen first.

Choice D rationale

Vaginal spotting in a client who has missed a period could indicate early pregnancy or a number of other conditions. While this client should be seen to confirm the cause of the spotting, it is not as immediately urgent as painless vaginal bleeding at 28 weeks of gestation.

Choice A rationale

The statement “I will use only nonprescription medications while pregnant” indicates a need for further teaching. Not all nonprescription (over-the-counter) medications are safe to use during pregnancy. Some may have effects on the fetus and others may affect the course of the pregnancy.

Choice B rationale

It’s important for pregnant women to discuss any home remedies for nausea or other symptoms with their doctor, as some remedies may not be safe during pregnancy.

Choice C rationale

Monitoring weight gain during pregnancy is important as excessive or insufficient weight gain can lead to complications such as gestational diabetes, hypertension, or growth issues for the baby.

Choice D rationale

Reducing stress levels during pregnancy is beneficial for both the mother and the baby’s health. High levels of stress can lead to complications such as preterm labor and low birth weight.