Which of the following findings should the nurse identify as manifestations of the newborn's suspected condition?

 

Choice A rationale

Intramuscular ceftriaxone is effective in preventing ophthalmia neonatorum, caused by Neisseria gonorrhoeae. This bacterial prophylaxis inhibits cell wall synthesis, reducing infection transmission from mother to newborn.

Choice B rationale

While ceftriaxone treats bacterial infections broadly, this choice lacks specificity to neonatal risk factors like gonococcal transmission. It’s insufficient for targeted preventative care against ophthalmia neonatorum.

Choice C rationale

Ceftriaxone effectively treats gonorrhea by targeting penicillin-binding proteins. However, this option overlooks preventive measures crucial for neonates, focusing instead on therapeutic intervention for active infections.

Choice D rationale

Postpartum infection prophylaxis might use ceftriaxone, but it fails to address neonatal ophthalmic concerns. The focus here is misplaced, diverging from the stated preventive objective for the newborn.

Choice A rationale

Elevating the client’s legs increases venous return, but it does not directly address the immediate cause of excessive bleeding, which is most often uterine atony.

Choice B rationale

Inserting a urinary catheter aids bladder emptying, which can support uterine contraction indirectly, but this is not the first action to control active bleeding.

Choice C rationale

Massaging the fundus promotes uterine contraction, which is the first-line intervention to control postpartum hemorrhage caused by uterine atony.

Choice D rationale

Oxytocin administration enhances uterine contractions, but manual fundal massage is typically performed first to assess and manage uterine atony immediately.