A nurse is assessing a postmature infant.
Which of the following findings would the nurse expect? (Select all that apply.)

Choice A rationale

Weight gain is a common side effect of corticosteroids, which alter metabolism and promote fluid retention. This effect can be pronounced in patients with muscular dystrophy, as corticosteroids are used to slow disease progression but may lead to unwanted changes in body composition.

Choice B rationale

Mood changes are another potential side effect of corticosteroids. These medications can affect neurotransmitter regulation in the brain, resulting in mood swings, irritability, or even more serious psychiatric effects such as depression or anxiety.

Choice C rationale

Chronic fatigue is not a primary side effect of corticosteroids. While muscular dystrophy itself may cause fatigue due to muscle wasting and decreased activity, the corticosteroids typically do not directly contribute to this symptom.

Choice D rationale

Osteoporosis is a long-term side effect of corticosteroid use, as these medications can interfere with calcium absorption and bone metabolism. Prolonged use may weaken bones, increasing the risk of fractures, especially in growing adolescents.

Choice A rationale

A positive rubella serum antibody titer indicates immunity to rubella infection, which is protective during pregnancy. It is not an abnormal finding and does not require immediate reporting. Rubella immunity is important to prevent congenital rubella syndrome in the fetus, a severe condition causing defects such as deafness or cardiac anomalies.

Choice B rationale

Blood pressure of 144/94 mmHg is elevated and indicates gestational hypertension, which could progress to preeclampsia if not managed. Preeclampsia can lead to complications such as eclampsia, placental abruption, or maternal and fetal mortality. Normal blood pressure during pregnancy is less than 140/90 mmHg, making this finding critical to report.

Choice C rationale

Copious leukorrhea is a common physiological change in pregnancy due to increased estrogen levels and vascularity. It is usually benign and protective, preventing infections by maintaining a mildly acidic environment in the vagina. This finding does not warrant immediate concern unless associated with infection symptoms.

Choice D rationale

An O-negative blood type requires administration of Rh immunoglobulin to prevent Rh isoimmunization, but this is routinely managed in pregnancy. It is not an urgent issue unless there are concerns about fetomaternal hemorrhage or alloimmunization, which could harm an Rh-positive fetus.