An infection control nurse is reviewing the medical records of several clients. Which of the following infections should the nurse report to the Centers for Disease Control and Prevention?

A. The alpha-fetoprotein test identifies a risk for ABO incompatibility: Alpha-fetoprotein (AFP) testing is not used to assess blood type compatibility. ABO incompatibility is determined through maternal and fetal blood typing and antibody screening.

B. The provider will draw the alpha-fetoprotein sample from an umbilical vein: AFP is measured via maternal blood draw, not from the umbilical vein. This noninvasive maternal serum screening reduces risk to the fetus.

C. The alpha-fetoprotein test screens for neural tube defects: AFP is a protein produced by the fetal liver, and abnormal maternal serum levels can indicate neural tube defects (such as spina bifida) or other fetal anomalies. This test is typically performed between 16 and 18 weeks gestation.

D. The provider will collect the alpha-fetoprotein sample during an amniocentesis: While AFP can be measured in amniotic fluid, the standard screening at 16 weeks is a maternal serum AFP blood test. Amniocentesis is not routinely required for initial AFP screening.

A. Holding the newborn in an en face position: Positioning the newborn face-to-face with the parent promotes eye contact and bonding. This action supports healthy attachment and is encouraged during early interactions.

B. Asking the father to change the newborn's diaper: Involving another caregiver in newborn care is appropriate and promotes family bonding. It does not indicate a problem with maternal-infant attachment.

C. Viewing the newborn's actions to be uncooperative: Interpreting normal newborn behaviors, such as crying or squirming, as deliberate uncooperativeness may indicate difficulty in bonding or unrealistic expectations. The nurse should intervene to provide guidance on normal newborn behavior and support attachment.

D. Requesting the nurse take the newborn to the nursery so she can rest: Asking for rest is appropriate, especially if the mother is fatigued. Temporary separation does not negatively impact bonding if the mother is able to interact and care for the newborn afterward.