A nurse on a maternal newborn unit is caring for a group of newborns. Which of the following information should the nurse report to the provider?

Rationale:

A. Pain when chewing solid foods is primarily related to temporomandibular joint dysfunction or dental issues. This concern falls under the care of dentists or medical providers, rather than occupational therapy, as it does not involve ADLs or functional independence.

B. Difficulty ambulating with a walker involves mobility, balance, and lower extremity function, which are typically addressed by a physical therapist. Physical therapy focuses on improving strength, gait, and safe ambulation, whereas occupational therapy focuses on upper-body function and activities of daily living.

C. Requiring assistance with completing oral hygiene indicates difficulty with self-care tasks, a primary focus of occupational therapy. Occupational therapists assess limitations in ADLs, provide adaptive techniques or devices (e.g., built-up toothbrush handles, assistive grips), and develop individualized plans to help clients maintain independence and perform daily tasks safely. For a client with rheumatoid arthritis, joint pain and reduced dexterity can impede the ability to complete these tasks, making occupational therapy essential.

D. Expressing the desire to join a support group addresses emotional and social support needs, which are typically facilitated by a social worker or counselor, not an occupational therapist. While important for holistic care, this does not fall under the scope of occupational therapy.

Rationale:

1. Client 2 – Chlamydia trachomatis: Chlamydia is also a reportable STI for similar public health reasons. Reporting helps prevent ongoing transmission.
2. Client 3 – Syphilis (RPR positive): Syphilis is reportable by law, as early detection and treatment are crucial to prevent complications and transmission.
3. Client 5 – Genital herpes simplex virus (HSV-2): Genital herpes is not reportable in most jurisdictions, though clients are counseled on prevention and management.
4. Client 1 – Neisseria gonorrhoeae: Gonorrhea is a reportable sexually transmitted infection (STI). Public health authorities must be notified to allow for contact tracing and treatment of exposed individuals.
5. Client 4 – Human papillomavirus (HPV): HPV is not a reportable infection, even if there are visible lesions (condyloma acuminata). It is managed clinically, but public health reporting is not required.