The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

Choice A rationale
After a birth complicated by shoulder dystocia, it is important to palpate the infant’s clavicles. This is because shoulder dystocia can lead to a clavicle fracture.
Choice B rationale
While encouraging the parents to hold the infant is generally a good practice, it is not the immediate action to take after a birth complicated by shoulder dystocia.
Choice C rationale
A complete newborn assessment is important, but the immediate action after a birth complicated by shoulder dystocia is to check for any injuries related to the difficult birth.
Choice D rationale
Giving supplemental oxygen is not the immediate action to take after a birth complicated by shoulder dystocia unless the baby shows signs of respiratory distress.

Choice A rationale
Kernicterus is a rare type of brain damage that occurs in a newborn with severe jaundice. It happens when a substance in the blood, bilirubin, builds up to very high levels and spreads into the brain tissues. This condition can cause athetoid cerebral palsy and hearing loss. Kernicterus also causes problems with vision and teeth and sometimes can cause intellectual disabilities. However, the symptoms provided do not align with this condition.
Choice B rationale
A severe cardiac anomaly could cause heart failure and respiratory distress, but it would not explain the positive Coomb’s test, high bilirubin levels, severe anemia, jaundice, and generalized edema.
Choice C rationale
Respiratory distress syndrome (RDS) is a common problem in premature babies. It causes babies to need extra oxygen and help with breathing. RDS occurs most often in babies born before the 28th week of pregnancy and can be a problem for babies born before 37 weeks of pregnancy. It’s caused by a lack of a slippery substance called surfactant, which helps the lungs inflate with air and keeps them from collapsing. However, the symptoms provided do not align with this condition.
Choice D rationale
Hydrops fetalis is a severe, life-threatening problem of severe edema (swelling) in the fetus and newborn. It is also called hydrops. There are two types of hydrops fetalis: immune and nonimmune. Immune hydrops fetalis is a complication of a severe form of Rh incompatibility, which can be prevented. Nonimmune hydrops fetalis occurs as a result of other diseases, such as infections, heart or lung defects, liver disease, or genetic disorders, which aligns with the symptoms provided.