The nurse is assessing a 40-week small for gestational age (SG

Choice A rationale: Heavy menstrual bleeding after an IUD insertion can be a sign of complications such as displacement of the IUD, infection, or other issues that require medical attention. It's important for the client to come to the clinic as soon as possible to be evaluated by a healthcare provider and ensure everything is functioning properly.

Choice B rationale: Taking her temperature every 4 hours is not directly relevant to the concern of heavy menstrual bleeding unless there is a suspicion of infection, which should still be evaluated in the clinic.

Choice C rationale: While some spotting or light bleeding can be normal after IUD insertion, heavy menstrual bleeding is not typical and should be assessed by a healthcare provider to rule out complications.

Choice D rationale: Advising the client to change her method of birth control without a proper evaluation is not appropriate. A healthcare provider should determine if the IUD is the right method for her or if there are any issues that need to be addressed.

Choice A rationale

Applying hot compresses to the breasts prior to feeding is not recommended for painful nipples due to breastfeeding. It may exacerbate pain and discomfort.

Choice B rationale

Teaching latching and releasing of suction techniques helps ensure that the baby latches correctly and releases properly from the breast, which can prevent and alleviate nipple pain and trauma.

Choice C rationale

Rubbing colostrum on the nipples after a feeding session is beneficial as colostrum has healing properties, but it does not address the immediate technique-related cause of painful nipples.

Choice D rationale

Air-drying nipples for 10 minutes at the end of the feeding session can be helpful for healing, but proper latching techniques are more effective in preventing nipple pain.