A nurse is assisting a client with breastfeeding her newborn.
The nurse should explain that which of the following reflexes will initiate sucking?

Choice A rationale:

Urinary retention is not a typical sign preceding the onset of labor. It's important to provide accurate information to the client, and this statement is not relevant to signs of impending labor.

Choice B rationale:

A decrease in vaginal discharge is not a typical sign preceding the onset of labor. The client should be informed about changes in cervical mucus, which is part of the mucus plug, but a decrease in vaginal discharge is not a specific indicator of impending labor.

Choice C rationale:

Experiencing a surge of energy is not a typical sign preceding the onset of labor. Some clients may report increased energy before labor, but it's not a reliable indicator for all.

Choice D rationale:

Having a weight gain of 0.5 to 1.5 kilograms is a sign that precedes the onset of labor. This weight gain is often attributed to increased amniotic fluid or edema and is associated with impending labor. This choice is the correct answer.

Choice A rationale:

Decreased energy Rationale: Decreased energy is a common symptom during pregnancy due to hormonal changes and increased metabolic demands. While it can be uncomfortable for the client, it is not typically a cause for immediate concern. It is essential to educate the client about the normal changes in energy levels during pregnancy, and that this symptom alone does not warrant calling the provider.

Choice B rationale:

Urinary frequency Rationale: Urinary frequency is a common early pregnancy symptom, primarily attributed to hormonal changes and the growing uterus pressing on the bladder. While it is a normal symptom, it can also be associated with urinary tract infections or other urinary issues. The client should call her provider if she experiences urinary frequency to rule out any potential problems.

Choice C rationale:

Mood swings Rationale: Mood swings are a common occurrence during pregnancy due to hormonal fluctuations. While they can be distressing for the client, they are typically not a sign of an immediate issue that requires contacting the provider. The nurse should educate the client about mood swings being a part of the normal pregnancy experience.

Choice D rationale:

Facial edema Rationale: Facial edema, or swelling of the face, can occur during pregnancy due to fluid retention. However, this symptom is not typically a cause for immediate concern. The nurse should educate the client about normal pregnancy-related changes, including mild edema. Severe facial edema might be a sign of preeclampsia, a condition characterized by high blood pressure and organ damage, but it is generally not a common early sign in pregnancy.