The nurse continues to care for the client in the antepartum unit and has received several provider orders.

Review the electronic health record (EHR) and for each provider's order, click to specify whether the order is essential, nonessential, or contraindicated for this client.

Providing discharge education on infant nutrition requires understanding the physiological properties of human milk. Nurses must explain how breastmilk provides dynamic nutritional and immunological benefits that adapt to the infant's developmental stages, unlike the static composition of commercial infant formulas.

Choice A rationale

Breastfeeding is not a reliable method of contraception. While it can delay ovulation through lactational amenorrhea, it does not guarantee protection against pregnancy. Parents must be educated on using reliable birth control methods during the postpartum period.

Choice B rationale

Commercial formulas are designed to mimic breastmilk but cannot replicate the live antibodies, enzymes, and hormones found in human milk. Formula composition remains static, whereas breastmilk contains unique immunological factors that protect the infant from infections.

Choice C rationale

Breastmilk production is based on a supply and demand system. As the infant grows and consumes more, the mother's body naturally increases the volume produced. Supplemental feedings are generally unnecessary if the infant is latching and growing.

Choice D rationale

Breastmilk is a dynamic fluid that adjusts its nutrient profile, including fats and antibodies, to meet the infant's specific age and health needs. This bio-availability ensures optimal growth and immune support that formula cannot provide..

Management of hypertensive disorders of pregnancy requires knowledge of seizure prophylaxis and fetal lung maturation. The nurse must apply understanding of preeclampsia protocols, including magnesium sulfate administration and frequent hemodynamic monitoring, while avoiding positions that compromise maternal-fetal circulation and placental perfusion.

Choice A rationale

Magnesium sulfate is essential for seizure prophylaxis in severe preeclampsia or eclampsia. It works by depressing the central nervous system and blocking neuromuscular transmission. Therapeutic serum levels are generally maintained between 4 to 7 mEq per liter.

Choice B rationale

Frequent blood pressure monitoring is essential to detect worsening hypertension or hypertensive crisis. Normal pregnancy blood pressure is typically less than 120 over 80. Monitoring helps evaluate the efficacy of antihypertensive medications and guides further clinical interventions.

Choice C rationale

The supine position is contraindicated because it causes aortocaval compression by the heavy uterus. This reduces cardiac output and placental perfusion, leading to maternal hypotension and fetal distress. The client should be placed in a lateral position.

Choice D rationale

Betamethasone is essential for stimulating fetal surfactant production if preterm delivery is anticipated. This corticosteroid reduces the risk of respiratory distress syndrome. A standard dose is 12.5 mg given intramuscularly in two doses 24 hours apart.

Choice E rationale

Urine culture is essential to screen for asymptomatic bacteriuria or urinary tract infections, which can trigger preterm labor. Proteinuria is also a hallmark of preeclampsia, and assessing urinary health is a standard component of comprehensive antepartum care.