A nurse is caring for a client who is taking an oral contraceptive. The nurse should instruct the client to report which of the following findings to the provider immediately?

A. The client’s fundus is firm and midline: Oxytocin is commonly administered in the third stage of labor to promote uterine contraction and prevent postpartum hemorrhage. A therapeutic effect of oxytocin is the firm and midline positioning of the uterus, indicating effective contraction and the prevention of excessive bleeding.

B. The client’s umbilical cord lengthens: The lengthening of the umbilical cord is not an expected therapeutic effect of oxytocin administration. Oxytocin primarily affects uterine contractions.

C. The client reports a feeling of vaginal fullness: A feeling of vaginal fullness is not a typical therapeutic effect of oxytocin administration. It may be associated with other factors, such as the presence of blood clots or retained placental fragments, and should be further assessed.

D. The client saturates a perineal pad in 1 hour: Saturating a perineal pad in 1 hour is not an expected therapeutic effect of oxytocin. Excessive bleeding or saturation of perineal pads may be a sign of postpartum hemorrhage and requires immediate attention.

A. Obtain an imprint of the infant’s feet prior to taking him to the nursery: While obtaining an imprint of the infant’s feet can be a sentimental and identification measure, the immediate focus should be on checking the newborn's identification using more standard and immediate methods.

B. Check the newborn's identification using the crib card: This is the correct answer. Checking the newborn's identification against the crib card or other hospital-issued identification is a crucial step in ensuring accurate and secure identification. This should be done consistently by healthcare providers during any interactions or care procedures involving the newborn.

C. Replace the infant’s identification band after his name has been recorded: The policy should emphasize the importance of maintaining the integrity of the newborn's identification band, but it should not specifically state that it needs to be replaced after the name has been recorded.

D. Require visitors to wear an identification band: While visitor identification may be important for security reasons, the primary focus of this policy should be on the identification of the newborn. The responsibility for accurate identification lies primarily with healthcare providers.