The following newborns are three-hours old and are sleeping.
The registered nurse should notify the provider about which newborn?

Choice A rationale

Thanking the nurse for information does not provide an actionable or measurable response to the safety plan. It signifies acknowledgment but does not demonstrate engagement or utilization of the resources provided. Effective evaluation involves observable actions that reflect the client's commitment to safety measures, such as storing or sharing resources.

Choice B rationale

Storing the crisis center number in their phone indicates the client values the provided resource and anticipates using it if necessary. It shows a proactive step in engaging with the safety plan and retaining information for future use. This measurable action demonstrates their awareness of the importance of having immediate access to help during emergencies.

Choice C rationale

The belief that their home will become safer due to the presence of a baby reflects denial or false optimism. It fails to address the inherent risks of intimate partner violence, which often escalate during stressful situations. A rational evaluation involves recognizing danger and taking steps to access resources for safety.

Choice D rationale

Choosing not to leave their home indicates resistance or inability to engage with the safety plan effectively. It reflects a lack of readiness to act on safety measures, making this response inappropriate as a measure of evaluating the safety plan. Behavioral change is necessary to ensure the client's well-being.

Choice A rationale

Umbilical cord compression is associated with variable decelerations, not late decelerations. The distinction lies in the timing of the decelerations, as umbilical cord compression causes abrupt drops in heart rate rather than gradual late drops after contractions.

Choice B rationale

Late decelerations occur due to uteroplacental insufficiency, where the placenta fails to adequately supply oxygen to the fetus. This is a sign of fetal distress, often caused by conditions such as maternal hypotension or placental abruption, requiring prompt intervention.

Choice C rationale

Fetal head compression leads to early decelerations, which are benign and occur as the head is compressed during contractions. This contrasts with late decelerations, which are indicative of compromised fetal oxygenation.

Choice D rationale

Maternal bradycardia does not cause late decelerations on the fetal monitor. Late decelerations are specifically related to uteroplacental insufficiency, not maternal cardiac conditions. .