The nurse when assessing the client's perineum found erythematous lesions on the vulva that looks like herpes. The nurse anticipates the patient's treatment regimen to include which of the following:

C. The nurse should expect expressions of excitement as the mother starts to process the childbirth experience and bond with her newborn.

A. During the dependent, taking in phase, mothers are often focused on their own physical recovery and adjusting to the reality of motherhood. They may show interest in learning newborn care skills, but they

are more likely to depend on others, such as healthcare providers and family members, to care for the newborn initially.

B. The dependent, taking in phase is characterized by the mother's focus on her own needs, such as rest, recovery, and physical comfort. This phase involves passive behavior and a tendency to rely on others for assistance. The mother is likely to have a good appetite instead of lack of appetite.

D. During the dependent, taking in phase, mothers typically show a dependency on others, including family members and healthcare providers, for physical and emotional support. They may rely on their partner or family members to help with newborn care and household tasks while they recuperate.

D. Newborns of mothers with poorly controlled diabetes mellitus, particularly type 2 diabetes, are at risk for hyperinsulinemia. High levels of insulin can suppress lung maturation in utero, leading to surfactant deficiency and subsequent respiratory distress syndrome (RDS) after birth. Surfactant is crucial for maintaining the expansion of alveoli and preventing collapse, especially in premature infants or those with immature lungs.

A. Increased blood viscosity due to polycythemia (high red blood cell count) can occur in newborns of diabetic mothers, but it is not typically associated with respiratory distress syndrome (RDS). Polycythemia may lead to other complications such as hyperviscosity syndrome, but it is not directly related to RDS.

B. Brachial plexus injury refers to damage to the network of nerves that control the muscles of the arm and hand. It is typically related to birth trauma and affects the arm rather than causing respiratory distress syndrome (RDS). This option is not related to the respiratory issues seen in the newborn.

C. Newborns of diabetic mothers are at increased risk of macrosomia (excessive birth weight) due to fetal hyperinsulinemia (increased insulin levels in response to maternal hyperglycemia). This can lead to increased fat deposits, particularly in the chest and shoulder area. However, while macrosomia is a risk factor for RDS, the direct cause of RDS in this scenario is not primarily due to fat deposits.