A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test. Which of the following statements should the nurse make?

(A) "You should recognize that your baby sucking on his hands is a hunger cue.":
This statement is correct because babies often show early hunger cues such as sucking on their hands, rooting (turning their head towards the breast or bottle), or making sucking noises. Recognizing these early signs helps ensure that the baby is fed before they become too hungry and upset, making breastfeeding easier and more successful.

(B) "You should feed your baby for 10 minutes on each breast.":
This statement is not entirely accurate because the duration of feeding can vary widely among babies. Some babies may need more time to feed, while others may need less. It's important to allow the baby to feed until they show signs of being satisfied, such as slowing down their sucking or releasing the breast on their own.

(C) "You should feed your baby six times a day.":
Newborns typically need to be fed more frequently than six times a day, often every 2-3 hours, which can amount to 8-12 times in 24 hours. Feeding on demand, rather than following a strict schedule, ensures that the baby gets enough milk and supports the mother's milk supply.

(D) "You should wake your baby at least every 6 hours at night for feedings.":
This statement is not recommended because newborns, especially in the first few weeks, usually need to be fed more frequently than every 6 hours, even at night. It's generally advised to wake the baby for feedings every 3-4 hours if they do not wake up on their own to ensure they receive enough nutrition and maintain adequate growth and hydration

(a) Pedal edema
Pedal edema, or swelling of the feet and ankles, is a common finding during pregnancy due to increased fluid retention and pressure on the lower extremities from the growing uterus. While pedal edema should be monitored, it is not typically a concerning finding unless it is severe or accompanied by other symptoms suggestive of preeclampsia.

(b) BP of 132/84 mm Hg
A blood pressure of 132/84 mm Hg is within the normal range for pregnancy. However, if the client's blood pressure continues to increase or is accompanied by other symptoms of hypertension, such as proteinuria or headaches, it may warrant further evaluation.

(c) Weight gain of 1 kg (2.2 lb)
Weight gain during pregnancy is expected and can vary from person to person and from week to week. A weight gain of 1 kg (2.2 lb) over the course of a month is within the normal range for pregnancy and may not require immediate reporting to the provider unless there are other concerning symptoms.

(d) Double vision
Double vision (diplopia) can be a symptom of several conditions, including preeclampsia, which is a serious complication of pregnancy characterized by high blood pressure and proteinuria. Double vision can also be caused by other neurological or ophthalmologic conditions. Given its potential association with preeclampsia and other serious conditions, the nurse should promptly report double vision to the provider for further evaluation and management.