A nurse is collecting data from a group of clients. Which of the following images indicates a client the nurse should identify as exhibiting clubbing of the fingers?

A. Answers questions asked by the nurse: Responding verbally shows the child is engaged and able to understand and participate in the interaction, indicating readiness to cooperate during the assessment.

B. Plays with toys in the examining room: While playing indicates comfort in the environment, it may also reflect distraction or avoidance rather than readiness to cooperate with the nurse’s instructions. Play alone is not a reliable indicator of cooperation.

C. Makes eye contact with the nurse: Eye contact demonstrates attention and willingness to engage with the nurse, which is a positive sign that the child is prepared to follow directions during data collection.

D. Allows the nurse to touch him on the arm: Tolerating touch shows trust and comfort with the nurse’s presence and interventions, signaling the child is ready to participate in the assessment.

E. Sits on his parent's lap when the nurse enters the room: Sitting on a parent’s lap may indicate the child is seeking comfort and security rather than being ready to cooperate independently. This behavior alone does not confirm readiness for assessment.

A. Blurred vision: Blurred vision during the third trimester can indicate a serious complication such as preeclampsia, which requires immediate reporting. It may signal elevated blood pressure and possible central nervous system involvement. Prompt communication with the provider is essential for maternal and fetal safety.

B. Leg cramps: Leg cramps are a common discomfort during pregnancy due to changes in circulation and pressure from the growing uterus. While uncomfortable, they are not considered an urgent finding that requires reporting.

C. Urinary frequency: Increased urinary frequency is typical in the third trimester as the enlarging uterus places pressure on the bladder. This is expected and usually does not indicate a complication unless accompanied by other symptoms such as pain or dysuria.

D. Gingivitis: Hormonal changes during pregnancy can lead to gum inflammation and bleeding. While oral care should be reinforced, gingivitis is a common, non-urgent finding and does not require immediate reporting to the provider.