A nurse is assisting a client with breastfeeding her newborn.
The nurse should explain that which of the following reflexes will initiate sucking?

The correct answer is choice C: The stump should fall off in 10 to 14 days.

Choice A rationale: Cleanse the area around the cord with baby oil each day. This is incorrect because cleansing with baby oil is not recommended. Instead, the nurse should advise the client to clean the area with water and a mild soap if necessary

Choice B rationale: Do not immerse the newborn's abdomen in water until the cord is dry. This is incorrect because sponge baths are recommended until the umbilical cord falls off, and immersion in water is not strictly prohibited

Choice C rationale: The stump should fall off in 10 to 14 days. This is correct because the umbilical cord stump typically falls off within 10 to 14 days after birth

Choice D rationale: Protect the cord by covering it with the newborn's diaper. This is incorrect because the diaper should be folded down below the umbilical cord to keep it dry and exposed to air

In conclusion, the nurse should reinforce that the umbilical cord stump should fall off within 10 to 14 days after birth. It is essential to provide accurate information and instructions for proper cord care to prevent infection and promote healing

Choice A rationale:

Copious vaginal bleeding Rationale: Copious vaginal bleeding, especially if it's heavy and associated with pain, can be a sign of a miscarriage or other significant complications during pregnancy. While some bleeding can be normal in early pregnancy (implantation bleeding), copious bleeding is not expected and should prompt immediate medical attention. However, it is not a typical finding for an ectopic pregnancy.

Choice B rationale:

Pelvic pain Rationale: Pelvic pain is a concerning symptom in a client with a possible ectopic pregnancy. Ectopic pregnancies occur when the fertilized egg implants outside the uterus, often in the fallopian tube. As the embryo grows, it can cause the tube to rupture, leading to severe abdominal pain and internal bleeding. Pelvic pain is a hallmark symptom of an ectopic pregnancy and should be reported to the provider immediately.

Choice C rationale:

Uterine enlargement greater than expected for gestational age Rationale: Uterine enlargement is expected during pregnancy as the uterus accommodates the growing fetus. However, in the case of an ectopic pregnancy, the fertilized egg implants outside the uterus, typically in the fallopian tube. Therefore, uterine enlargement greater than expected for gestational age would not be a typical finding. This choice is not correct for an ectopic pregnancy.

Choice D rationale:

Severe nausea and vomiting Rationale: Severe nausea and vomiting can be associated with pregnancy-related conditions like hyperemesis gravidarum, but it is not a typical finding in ectopic pregnancies. Ectopic pregnancies are more likely to present with pelvic pain and may progress to severe abdominal pain if the fallopian tube ruptures. .