A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on July 27. What is the client's EDB? (State the date in MMDD format. For example, July 27 is 0727.)

Choice A reason:
Urinary frequency typically begins early in pregnancy due to hormonal changes and increased blood volume leading to more fluid being processed by the kidneys and ending up in the bladder. While it often improves in the second trimester as the uterus rises into the abdominal cavity, poor bladder tone is not typically cited as a reason for its continuation.

Choice B reason:
While urinary frequency can be seen as a minor inconvenience, it should not be ignored. It is a normal physiological change during pregnancy. However, if it is accompanied by pain, burning, or any other symptoms, it could indicate a urinary tract infection, which requires medical attention.

Choice C reason:
There is some predictability to urinary frequency in pregnancy. It often starts in the first trimester, improves in the second, and may return in the third trimester as the growing baby and uterus exert pressure on the bladder.

Choice D reason:
This choice is accurate. Urinary frequency is common in the first trimester due to hormonal changes and the growing uterus pressing on the bladder. It often returns in the third trimester when the baby "drops" and the head presses on the bladder. This is a normal part of pregnancy and usually does not indicate any complications.

Choice A reason:
Continuous fetal monitoring is a standard order for clients with severe preeclampsia. It allows healthcare providers to assess the baby's heart rate pattern, which can indicate how well the baby is tolerating the intrauterine environment. This is particularly important in cases of severe preeclampsia, where there is a risk of fetal distress.

Choice B reason:
Obtaining a daily weight is also a standard practice for clients with severe preeclampsia. Weight gain can be an indicator of worsening preeclampsia due to fluid retention and should be monitored closely. Sudden weight gain can signify increased fluid retention, which may require medical intervention.

Choice C reason:
Assessing deep tendon reflexes every hour is appropriate for clients with severe preeclampsia. Hyperreflexia can be a sign of worsening preeclampsia and impending eclampsia. Frequent monitoring allows for early detection of changes in reflexes, which can be critical in managing the condition.

Choice D reason:
Ambulating twice daily would require clarification because clients with severe preeclampsia are typically advised to have bed rest to lower blood pressure and reduce the risk of complications. Ambulation could increase the risk of hypertensive crisis or other complications, so this order seems contrary to standard management practices for severe preeclampsia.