A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following statements should the nurse include in the teaching?

A) Increased glucose levels would not typically be considered a positive outcome of following a Mediterranean diet and exercising to manage cardiovascular disease. In fact, the goal of such interventions is often to improve glycemic control and reduce blood sugar levels, so an increase in glucose levels would be undesirable.

B) Increased HDL (high-density lipoprotein) levels would be considered a positive outcome of the client's interventions. HDL is often referred to as "good" cholesterol ’ecause it helps remove LDL (low-density lipop“otei”) cholesterol from the arteries, thus reducing the risk of heart disease. A Mediterranean diet, rich in fruits, vegetables, whole grains, and healthy fats like those found in olive oil, combined with regular exercise, can lead to increased HDL levels.

C) Increased LDL (low-density lipoprotein) levels would not typically be considered a positive outcome of following a Mediterranean diet and exercising to manage cardiovascular disease. LDL cholesterol is often referred to as "bad" cholesterol because high levels can lead to plaque buildup “n t”e arteries, increasing the risk of heart disease. The goal of lifestyle interventions in managing cardiovascular disease is often to reduce LDL levels.

D) Increased triglyceride levels would not typically be considered a positive outcome of following a Mediterranean diet and exercising to manage cardiovascular disease. High triglyceride levels are associated with an increased risk of heart disease. A Mediterranean diet, which typically includes foods low in saturated fats and high in unsaturated fats, can help lower triglyceride levels when combined with regular exercise.

A) "This is a cephalhematoma, which can occur spontaneously":

This is the correct response. A cephalhematoma is a collection of blood between the skull bone and its periosteum and does not cross suture lines. It often develops after vacuum extraction during delivery due to rupture of blood vessels. It is typically benign and resolves on its own over several weeks to months as the blood is reabsorbed by the body. It is important to reassure the mother that this is a common occurrence and usually resolves without intervention.

B) "Mongolian spots can be found on the skin of many newborns":

Mongolian spots are blue-gray birthmarks that commonly appear on the skin of newborns, typically over the buttocks and lower back. They are not related to the swelling on the baby's head and do not cross suture lines.

C) "This is erythema toxicum, which is a transient condition":

Erythema toxicum is a benign rash that appears in many newborns within the first few days of life. It presents as small, yellow or white papules surrounded by erythema and often resolves without treatment within a week. It is not related to the swelling on the baby's head and does not cross suture lines.

D) "A caput succedaneum occurs due to compression of blood vessels and will cross the sutures lines on the baby's head":

While a caput succedaneum is a collection of serosanguinous fluid that crosses suture lines and typically resolves within a few days after birth, it is usually associated with swelling over the presenting part of the fetus during labor, not vacuum extraction. Additionally, caput succedaneum is not typically located on the top of the head, where the swelling from a cephalhematoma would be observed.