A nurse is reinforcing teaching about travel with a client who is pregnant.
Which of the following instructions should the nurse include?

Choice A rationale

Checking the identity of individuals who come to remove the baby from the room is crucial for preventing infant abduction and ensuring the safety of the newborn.

Choice B rationale

Matching the bracelet on the baby with the footprint record each shift is not a standard practice for newborn identification and safety.

Choice C rationale

Scanning the baby’s identification bracelet each time they are checked on is not a common practice and may not be feasible.

Choice D rationale

Wearing an electronic bracelet when out of the room is a safety measure, but it does not replace the need for parents to verify the identity of individuals handling their baby. .

Based on the provided information, here’s the completed diagram:

Potential Condition

• D. Endometritis

Actions to Take

• A. Administer broad-spectrum antibiotics
• D. Administer analgesics

Parameters to Monitor

• A. Lochia amount and odor
• B. Temperature

Explanation of Other Conditions

1. Deep vein thrombosis (DVT):
   • Reasoning: The client has bilateral edema without pain, warmth, or tenderness, which are typical signs of DVT. Additionally, the primary symptoms (malaise, chills, fever, foul-smelling lochia) are more indicative of an infection like endometritis.
2. Urinary tract infection (UTI):
   • Reasoning: The client is voiding frequently without difficulty, and there are no specific urinary symptoms like dysuria or urgency. The presence of foul-smelling lochia and a boggy, tender uterus points more towards endometritis.
3. Engorgement:
   • Reasoning: While the client’s breasts are firm and heavy, she denies nipple discomfort, and the primary symptoms (fever, chills, malaise, foul-smelling lochia) are more consistent with an infection rather than simple breast engorgement.