The nurse develops a teaching plan for a 24-hour vaginal postpartum client with a firm fundus, scant lochia, and a 4th degree laceration.
Her hemoglobin level is 10.0 gm/dl, and hematocrit is 30%. The mother is breastfeeding.
Which medication would the nurse expect to be contraindicated?

Choice A rationale

It is important to encourage breastfeeding rather than offering formula, especially if the mother wishes to breastfeed.

Choice B rationale

Pumping is not necessary at this time as the baby is just 4 hours old and establishing feeding patterns.

Choice C rationale

Consulting the pediatrician is not immediately necessary for this situation.

Choice D rationale

Teaching the mother about newborn sleep and hunger patterns is appropriate, as newborns often have irregular feeding schedules in the first few days. .

Choice A rationale

Hypertonia, tachycardia, and metabolic alkalosis are not associated with necrotizing enterocolitis (NEC). NEC is characterized by gastrointestinal symptoms and signs of systemic illness.

Choice B rationale

Hypertension, apnea, and ruddy skin color are not specific indicators of necrotizing enterocolitis (NEC). NEC primarily presents with gastrointestinal symptoms and systemic instability.

Choice C rationale

Abdominal distention, temperature instability, and bloody stools are classic signs of necrotizing enterocolitis (NEC). These symptoms indicate severe inflammation and potential bowel necrosis.

Choice D rationale

Scaphoid abdomen, no residual with feedings, and increased urinary output are not characteristic of necrotizing enterocolitis (NEC). NEC typically presents with abdominal distention and feeding intolerance. .