A child with persistent otitis media with effusion is to undergo insertion of pressure- equalizing tubes via a myringotomy. The child is to be discharged later that day. After teaching the parents about caring for their child after discharge, which statement indicates that the teaching was successful?

A. Keep the room lights lit so that the patient and her coach can see everything: Bright lighting increases sensory stimulation and can heighten anxiety during labor. A calm, dim environment is more conducive to relaxation and parasympathetic nervous system activation.

B. Offer warm, wet cloths to use on the patient's face and neck: While this can be a nice comfort measure, it is usually a localized relief. It is not as effective as position changes for overall relaxation and progress. Many women actually prefer cool cloths because labor is physically demanding and makes them feel hot due to increased metabolism.

C. Palpate her filling bladder every 15 minutes: Frequent bladder assessment is unnecessary and intrusive unless urinary retention is suspected. Repeated palpation can interrupt coping efforts and increase discomfort rather than promote relaxation.

D. Recommend frequent position changes: Frequent position changes (every 20–30 minutes) are a primary comfort measure. They help the woman relax by relieving pressure on specific muscle groups, improving circulation, and helping the fetus rotate and descend. Movement reduces the perception of pain and prevents the mother from becoming physically fatigued in one spot.

A. Rash on face: While some rashes may accompany infections, a localized facial rash in a neonate is nonspecific and can result from benign conditions such as erythema toxicum neonatorum, making it less indicative of systemic sepsis.

B. Edematous neck: Neck edema is uncommon in neonates and may suggest local trauma, lymphatic obstruction, or congenital anomalies rather than sepsis. It does not provide reliable evidence of systemic infection.

C. Hypothermia: Neonates with sepsis often present with hypothermia rather than fever due to immature thermoregulatory and immune systems. Persistent low body temperature, along with other signs such as lethargy or poor feeding, is a strong indicator of potential sepsis and warrants prompt evaluation and intervention.

D. Coughing: Coughing may indicate a respiratory condition, but isolated coughing is not a sensitive or specific marker for neonatal sepsis. Respiratory distress in combination with systemic signs would be more concerning.