A client in the third trimester of pregnancy reports that she feels some " places" in her breasts and that her nipples sometimes leak a yellowish fluid. She has an appointment with her healthcare provider in two weeks. Which action should the practical nurse take?

A. Recommend that the client start wearing a supportive brassiere: While a supportive bra is helpful for comfort as breast tissue enlarges during pregnancy, it does not address the client’s concern about the “lumpy places” and nipple discharge. B. Reschedule the client's prenatal appointment for the following day: The described symptoms do not indicate an urgent condition requiring immediate evaluation. These are expected breast changes in the third trimester and can safely be assessed at the scheduled prenatal visit. C. Tell the client to begin nipple stimulation to prepare for breast feeding: Nipple stimulation can cause uterine contractions by increasing oxytocin release and is not recommended during pregnancy unless prescribed by a healthcare provider. D. Explain that this normal secretion can be assessed at the next visit: The yellowish fluid, known as colostrum, is a normal pre-milk secretion produced in late pregnancy. The “lumpy” feeling results from glandular breast changes preparing for lactation, and reassurance with follow-up at the next appointment is appropriate.