A nurse is educating a client who is 23 weeks pregnant about immunizations.
Which statement should the nurse include in the teaching?

Choice A rationale

Feeling the baby move, also known as quickening, is a presumptive sign of pregnancy. Presumptive signs are those that suggest a woman could be pregnant, but they’re not definitive. Quickening is often described as a fluttering sensation and is usually felt between 16 and 25 weeks of gestation.

Choice B rationale

Positive signs of pregnancy are those that can only be explained by pregnancy. These include hearing the baby’s heartbeat, visualizing the fetus on ultrasound, and feeling the baby move by a healthcare provider.

Choice C rationale

Probable signs of pregnancy are those that are strongly suggestive of pregnancy but could be caused by other conditions. These include changes in the uterus, changes in the cervix, and positive pregnancy tests.

Choice D rationale

There is no classification of “possible” signs of pregnancy in medical terminology.

Choice A rationale

Moderate exercise improves circulation. This statement is accurate and should be included in the teaching. Regular moderate exercise during pregnancy can have many benefits, including improved circulation, which can help reduce swelling and varicose veins. It can also help manage weight gain, improve mood and energy levels, reduce pregnancy discomfort, prepare the body for labor, and boost stamina for labor and delivery.

Choice B rationale

Refrain from exercises that include stretching. This statement is not accurate and should not be included in the teaching. Stretching exercises can be beneficial during pregnancy. They can help improve flexibility, reduce muscle tension, alleviate pregnancy discomfort, and prevent muscle imbalances. However, pregnant women should be careful not to stretch too far, as the hormones produced during pregnancy can make the ligaments more flexible and easier to stretch, increasing the risk of injuries.

Choice C rationale

It is recommended to rest for 30 minutes before each new exercise. This statement is not accurate and should not be included in the teaching. While it’s important for pregnant women to rest and avoid overexertion, there’s no specific recommendation to rest for 30 minutes before each new exercise. Instead, pregnant women should listen to their bodies and rest as needed.

Choice D rationale

It is recommended to increase your weight-bearing exercises. This statement is not accurate and should not be included in the teaching. While weight-bearing exercises can be beneficial, they should be done with caution during pregnancy. Pregnant women should avoid heavy weights and exercises that put pressure on the joints, increase the risk of injury, or cause discomfort. Instead, they should focus on exercises that strengthen the muscles and improve balance and flexibility.