A nurse is preparing to collect a specimen for newborn screening.
Which of the following actions should the nurse take?

Choice A rationale

A BP of 132/84 mm Hg is within the normal range for a pregnant woman and does not require immediate reporting.

Choice B rationale

A weight gain of 1 kg (2.2 lb) in one month is within the expected range for a pregnant woman at 26 weeks gestation.

Choice C rationale

Pedal edema is a common symptom in pregnancy and is usually not a cause for concern unless accompanied by other symptoms.

Choice D rationale

Double vision is a concerning symptom that could indicate a serious condition such as preeclampsia. It should be reported to the provider immediately.

Choice A rationale

Purchasing furniture for the baby’s room is a common and healthy behavior during pregnancy. It indicates that the client is preparing for the baby’s arrival and is excited about the new addition to the family. This behavior is generally seen as positive and supportive of the pregnancy.

Choice B rationale

Being unsure about wanting an epidural during labor is a normal concern for many pregnant individuals. It reflects the client’s consideration of pain management options and their desire to make an informed decision. This is not typically seen as a psychosocial concern.

Choice C rationale

The partner planning to attend birthing classes with the client is a positive sign of support and involvement in the pregnancy. It indicates that the partner is engaged and willing to participate in the childbirth process, which can be beneficial for the client’s emotional well-being.

Choice D rationale

Expressing uncertainty about whether an older child will accept the new baby can indicate underlying anxiety or stress about family dynamics and the impact of the new baby on existing relationships. This concern may require further exploration and support to ensure the client’s emotional health.