A nurse is collecting data from a client who is at 35 weeks of gestation. Which of the following findings should the nurse report to the provider?

A. Sputum characteristic: Blood-tinged sputum is an abnormal finding that may indicate serious pulmonary pathology such as tuberculosis, pneumonia, or malignancy. This symptom requires prompt evaluation to determine the source of bleeding and identify infectious or inflammatory causes.

B. Weight: An unintentional 2.26 kg (5 lb) weight loss within one week, combined with decreased appetite, is clinically significant. Acute weight loss can indicate systemic illness, chronic infection, or malignancy and warrants further investigation in the emergency setting.

C. Oxygen saturation: An oxygen saturation of 98% on room air indicates adequate oxygenation at this time. This finding does not suggest immediate respiratory compromise and does not independently require further evaluation.

D. Travel history: Recent travel to South Africa, a region with higher prevalence of tuberculosis, is a significant risk factor. When combined with cough, night sweats, weight loss, and hemoptysis, this history raises concern for TB and necessitates further diagnostic testing and isolation precautions.

E. Heart rate: This is at the high end of normal (60 to 100 bpm). It is an expected finding in a client with a fever and slight dehydration, rather than a separate issue requiring evaluation.

F. Respiratory complaint: A productive cough lasting four days, especially with associated hemoptysis and increased respiratory rate, is concerning for an infectious or inflammatory pulmonary process. Ongoing respiratory symptoms require diagnostic imaging and laboratory evaluation.

G. Temperature: A low-grade fever of 38.1° C (100.5° F) supports the presence of an infectious process. Fever combined with night sweats and weight loss heightens concern for systemic or chronic infection and requires further assessment.

H. Blood pressure: The blood pressure reading of 112/88 mm Hg is within an acceptable range and does not indicate hemodynamic instability. This finding alone does not require additional evaluation at this time.

A. Explain medical terminology using basic, one-syllable words: While simplifying language is important, limiting explanations to only one-syllable words may overly restrict clarity and precision. Key terms can be explained in plain language without compromising accuracy.

B. Present information from complex to simple: Effective teaching typically progresses from simple concepts to more complex ones. Presenting information in reverse can confuse readers and reduce comprehension, especially for health education materials.

C. Write the information at an 8th-grade reading level: Health education materials are most effective when written at a 5th- to 6th-grade reading level to ensure accessibility to a broad audience, including those with limited health literacy. Writing at an 8th-grade level may be too advanced for some readers.

D. Use a 12-point font size: Using a 12-point font enhances readability, especially for older adults or individuals with visual impairments. Clear, legible text supports comprehension and encourages engagement with the educational material.