A nurse is reinforcing teaching with the parents of an infant who has a Pavlik harness.
Which of the following statements should the nurse include in the teaching?

Choice A rationale:

Hegar's sign is a softening of the uterine isthmus, which occurs during early pregnancy. It is not related to changes in the color of the vagina and vulva.

Choice B rationale:

Chloasma refers to the appearance of dark, blotchy, and hyperpigmented skin patches that can occur during pregnancy, primarily on the face. It is not related to changes in the color of the vagina and vulva.

Choice C rationale:

Ballottement is a technique used during a physical examination to assess for a floating fetus within the amniotic fluid. It is not related to changes in the color of the vagina and vulva.

Choice D rationale:

Chadwick's sign is the purplish or bluish discoloration of the vaginal and vulvar mucosa that can occur during pregnancy. This sign is due to increased blood flow to the area, which is a normal physiological change in pregnancy.

Choice A rationale:

The nurse is demonstrating advocacy by contacting the provider to return and speak with the client when the client expresses a lack of understanding about their diagnosis. Advocacy involves promoting the client's best interests, ensuring they receive appropriate information and care, and facilitating communication between the client and the healthcare team to address their concerns and needs.

Choice B rationale:

Good manners, while important in nursing practice, do not capture the essence of the nurse's action in this scenario. The nurse's primary role is to advocate for the client's understanding and communication with the healthcare provider.

Choice C rationale:

Customer service is not the primary focus in this situation. While providing excellent customer service is important in healthcare, the nurse's primary responsibility is to ensure the client's understanding of their diagnosis and address any questions or concerns they may have.

Choice D rationale:

Kindness is a positive quality in nursing practice, but it does not fully encompass the nurse's role in this scenario. The nurse's primary responsibility is to advocate for the client's understanding and facilitate effective communication with the provider to address the client's concerns and questions.