Upon arriving at the prenatal clinic in the morning, the nurse receives messages from four clients. Which client complaint should be addressed first?
1. Primipara at 24 weeks' gestation with ankle edema
2. Multipara at 35 weeks' gestation with new onset of hemorrhoids
3. Primipara at 9 weeks' gestation with increased fatigue and nocturia
4. Multipara at 30 weeks' gestation with vaginal bleeding after performing yoga
Question 2
A client who is at 10 weeks' gestation is concerned about the amount of saliva that is in her mouth since she seems to be spitting when she talks. How should the nurse respond?
1. You should avoid astringent mouthwashes and chewing gum.
2. That's called ptyalism, and it's usually caused by increased salt intake during the second trimester.
3. Excess salivation commonly occurs during the first trimester, although the cause is unknown.
4. Let's schedule you for a doctor's appointment, because excessive salivation can signal a complication of pregnancy.
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