During a significant postpartum hemorrhage, the physician orders the nurse to administer 1000 mcg Misoprostol per rectum STAT. The nurse has on hand Misoprostol 200 mcg tablets. How many tablets should the nurse administer?

Choice A rationale

A cesarean delivery may increase infection risk due to surgical exposure, but a full-term infant born at 38 weeks has more mature immune defenses compared to preterm or growth-restricted infants.

Choice B rationale

A 36-week infant, small for gestational age, has underdeveloped immune function and possible intrauterine growth restriction, which increases susceptibility to infections. Immaturity in skin and mucosal barriers heightens the risk.

Choice C rationale

Infants born to mothers with gestational diabetes may experience metabolic complications, but infection risk is lower in full-term infants due to relatively mature immune function and adequate birth weight.

Choice D rationale

Caput succedaneum may present a localized risk of infection, but a 38-week infant has a more mature immune system compared to premature or growth-restricted infants, thus reducing overall susceptibility to infections.

Choice A rationale

Hypoxia may contribute to tachypnea and distress, but it is unlikely the primary cause, as baseline fetal heart rate of 180 BPM indicates infection-related stress rather than isolated oxygen deprivation.

Choice B rationale

Respiratory distress syndrome predominantly affects preterm infants due to surfactant deficiency. At 37 weeks’ gestation, surfactant levels should be adequate, making this an unlikely cause of the newborn’s tachypnea and pallor.

Choice C rationale

Prolonged rupture of membranes increases the risk of neonatal sepsis. Signs such as tachypnea, pallor, and elevated fetal heart rate with marked variability suggest systemic infection requiring immediate evaluation and treatment.

Choice D rationale

Phrenic nerve injury typically causes diaphragmatic paralysis, leading to asymmetric chest movement and respiratory distress. However, it does not explain the systemic signs like pallor or elevated heart rate, making it an unlikely cause.