A nurse is caring for a client who consumed alcohol 2 days after taking disulfiram. The nurse should monitor the client for which of the following findings?

Choice A reason: Carrying the newborn to the nursery risks dropping due to postpartum fatigue or weakness. Scientifically, this increases injury potential, as maternal strength is compromised early postpartum, making it an unsafe practice compared to staff-assisted transport protocols.

Choice B reason: Requesting licenses is impractical and delays care; ID badges suffice for security. Scientifically, this overcomplicates verification, as hospitals use standardized identification, reducing abduction risk effectively without burdening staff or compromising timely newborn management.

Choice C reason: Missing ID bands threaten security, risking mix-ups or abduction. Alerting staff ensures immediate correction, aligning with scientific safety protocols, as dual identification (mother and baby) is critical postpartum to prevent errors or unauthorized removal in healthcare settings.

Choice D reason: Leaving the newborn unattended in the bassinet risks theft or falls, especially in an unsecured room. Scientifically, constant supervision or staff notification is safer, as postpartum units prioritize vigilance to protect vulnerable infants from preventable harm.

Choice A reason: Palpitations at 34 weeks may signal arrhythmia or preeclampsia-related cardiac strain. This urgent symptom in pregnancy requires immediate provider evaluation.

Choice B reason: Weekly nosebleeds are common in pregnancy from vascular changes, less critical. Without severity, they’re not the priority over cardiac concerns.

Choice C reason: Red, blotchy palms (palmar erythema) are normal in pregnancy from estrogen. It’s benign, not urgent compared to potential heart issues.

Choice D reason: Persistent headaches suggest preeclampsia, but palpitations pose a more immediate cardiac risk. At 34 weeks, this takes reporting precedence.