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Placing the infant on his back with legs extended is a recommended sleeping position for infants to reduce the risk of sudden infant death syndrome (SIDS). However, it is not directly related to managing neonatal abstinence syndrome.

Providing a stimulating environment would not be appropriate for an infant with NAS, as excessive stimulation can exacerbate symptoms such as irritability and tremors. A calm and quiet environment is preferable.

Monitoring blood glucose levels every hour is not a routine practice for managing neonatal abstinence syndrome. While NAS can cause feeding difficulties, hypoglycemia is not typically a primary concern unless the infant is exhibiting specific symptoms.

Vulva lesions are not typically associated with trichomoniasis. Trichomoniasis primarily affects the vagina and cervix rather than the vulva.

Urinary frequency is not a typical symptom of trichomoniasis. However, some individuals may experience mild urinary symptoms such as burning or discomfort during urination.

Thick, white vaginal discharge is more indicative of a yeast infection (such as candidiasis) rather than trichomoniasis. Trichomoniasis typically presents with a frothy, yellow-green, or gray vaginal discharge.

The newborn weighs less than 2.5 kg (5.5 lb). This is not a valid reason to delay the instillation of antibiotic ophthalmic ointment. Birth weight alone does not affect the timing of ointment administration.

Delaying treatment to wait for signs of infection could worsen the condition if present. Early intervention is crucial for preventing ophthalmia neonatorum.

The newborn was delivered via cesarean birth. Delivery via cesarean section is not typically a reason to delay the instillation of antibiotic ophthalmic ointment. The risk of neonatal conjunctivitis from maternal infection remains, regardless of the mode of delivery.

While tingling may indicate issues such as carpal tunnel syndrome, it is not immediately life-threatening or indicative of a serious condition compared to severe vomiting.

Back pain can be a common complaint in late pregnancy and, while uncomfortable, it typically does not require urgent assessment unless accompanied by other concerning symptoms.

Frequent urination is common in early pregnancy due to hormonal changes and bladder pressure. This is not an urgent concern compared to severe vomiting.

Covering the exposed umbilical cord with a sterile saline-saturated towel is an appropriate intervention to prevent the cord from drying out and to reduce the risk of infection. However, this is not the most immediate action that should be taken. The priority is to relieve pressure on the umbilical cord to restore blood flow to the fetus, which is more urgent than covering the cord.

Administering oxygen can help improve maternal oxygenation, which in turn can benefit the fetus. However, in this situation, the immediate priority is to relieve the pressure on the umbilical cord to prevent fetal hypoxia. Administering oxygen is important but secondary to the mechanical relief of cord compression.

Initiating IV fluids can help maintain maternal blood pressure and support fetal circulation. However, this intervention is not as immediate or directly life-saving as relieving the pressure on the umbilical cord. It can be done after the more urgent interventions are initiated.

Administering an IV bolus of fluids, such as lactated Ringer's, can increase the client's fluid volume, which is contraindicated in clients with heart failure, including peripartum cardiomyopathy. This could worsen the condition by increasing the workload on the already compromised heart.

Assessing blood pressure is important in monitoring the client's cardiovascular status, but assessing it twice daily may not be sufficient for a client with peripartum cardiomyopathy, especially in the acute postpartum period. Blood pressure should be monitored more frequently, and any significant changes should be promptly addressed.

Obtaining a prescription for misoprostol is incorrect. Misoprostol is a medication used for various purposes, including the prevention and treatment of postpartum hemorrhage. However, it is not a specific treatment for peripartum cardiomyopathy. The focus in peripartum cardiomyopathy management is on cardiac support and stabilization.