A nurse is reinforcing teaching with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer.
Which of the following statements should the nurse tell the client?

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.

he nurse should document the client's present gravidity (G) as 4.

Here's the breakdown:

• G stands for Gravidity, which is the total number of pregnancies a woman has had, regardless of their outcome.
• The client has had:
  • 1 pregnancy terminated by elective abortion
  • 1 pregnancy resulting in the birth of twins (counted as one pregnancy)
  • 1 spontaneous abortion
  • 1 current pregnancy (at 28 weeks)

Therefore, the total number of pregnancies is 4.