A nurse in a health clinic is caring for a client who arrived for their initial visit after a positive home pregnancy test. The nurse should identify that which of the following actions should occur during the initial visit?

Choice B rationale: Breast tenderness is a common symptom of early pregnancy caused by hormonal changes. It generally does not require further investigation unless there are additional concerning signs like lumps or discharge from the nipples.

Choice C rationale: Nausea is another common symptom of early pregnancy due to increased levels of human chorionic gonadotropin (HCG). It is expected and usually does not require further investigation unless it becomes severe and leads to dehydration.

Choice D rationale: Fatigue is a typical symptom in early pregnancy, often due to hormonal changes and increased blood production. It generally does not require further investigation unless accompanied by other symptoms like severe anemia or thyroid dysfunction.

Choice E rationale: Burning with urination is a symptom of a urinary tract infection (UTI) or sexually transmitted infection (STI). Further investigation is necessary to identify the cause and provide appropriate treatment to prevent complications.

Choice A rationale

Fasting for 8 hours before the AFP test is not required. This misinformation might cause unnecessary patient anxiety. Understanding test protocols helps in providing accurate and reassuring patient education, reducing pre-test stress.

Choice B rationale

AFP test is a screening tool to identify potential anomalies such as neural tube defects or chromosomal abnormalities. It does not provide a definitive diagnosis but indicates if further diagnostic testing is warranted for confirming anomalies.

Choice C rationale

Absence of chronic illnesses does not guarantee normal AFP test results. This statement is misleading, as AFP levels can be affected by a variety of factors, including gestational age and fetal conditions, requiring comprehensive analysis.

Choice D rationale

Bed rest is not necessary after an AFP test. This misinformation may cause unnecessary concern or inconvenience for the patient. Proper understanding of post-test care helps in providing correct patient instructions and alleviating fears.