A nurse is reviewing the laboratory findings of a client who has type 1 diabetes mellitus. Which of the following findings should the nurse report to the provider immediately?

A. Avoid feeding the infant more than once every 3 hr: Newborns should be fed on demand, which typically occurs every 1-3 hours, but it can vary. Some babies may want to nurse more frequently, especially in the early days, for comfort or to stimulate milk production. Restricting feedings to a set time interval can hinder the infant's ability to receive enough nourishment.
B. Provide the newborn with 15 mL of sterile water each day: Breast milk or formula provides all the hydration and nutrition the infant needs. Offering water can interfere with the infant's intake of breast milk, which is essential for proper growth and development.
C. Store expressed milk in the refrigerator for up to 7 days: While expressed breast milk can be stored in the refrigerator, the recommended storage time is typically 3-5 days, not 7 days. Storing milk for longer periods may increase the risk of bacterial growth, which could compromise the milk's safety and quality.
D. Feedings should begin within 1 hour after birth: Initiating breastfeeding within the first hour after birth is critical for both mother and baby. Early initiation of breastfeeding helps establish a good milk supply, promotes bonding, and provides the newborn with colostrum, which is rich in antibodies and nutrients essential for the baby’s immune system and overall health.

A. Whole-wheat pasta, green salad, and diet cola: While this meal is low in fat and suitable for hypertension, it lacks a clear protein source. Additionally, diet cola contains caffeine and artificial sweeteners, which some clients may choose to avoid due to personal or health preferences.
B. Broiled chicken, grilled potatoes, and lemonade: This option is appropriate for a client with hypertension and complies with Islamic dietary laws. Chicken is a halal protein, and the meal is low in sodium and saturated fat. Lemonade is a non-caffeinated beverage that aligns with religious and health considerations.
C. Roast beef, brown rice, and coffee: Roast beef is permissible if it is halal, but this cannot be assumed unless specified. Coffee contains caffeine, which some individuals with hypertension may need to limit. The meal also lacks details on fat and sodium content.
D. Grilled pork loin, steamed vegetables, and water: Pork is strictly prohibited (haram) in Islamic dietary laws. Although the vegetables and water are appropriate, the inclusion of pork makes this meal unacceptable for a practicing Muslim.