A client who is at 10-weeks gestation calls the clinic because she has been vomiting for the past 24 hours. The nurse determines that the client has no fever. Which instruction should the nurse give to this client?
Explanation & Rationale
Rationale: A. Make an appointment at the clinic if a fever occurs: Since the client is 10 weeks pregnant, has had vomiting for 24 hours, and has no fever, this is likely mild morning sickness. The nurse should instruct the client to monitor for warning signs such as fever, dehydration, or inability to retain fluids, and seek care if these occur. B. Take nothing by mouth until there is no more nausea: Complete restriction of oral intake is unnecessary for mild nausea and may increase dehydration risk. Small, frequent meals and adequate hydration are generally safe for early pregnancy vomiting. C. Come to the clinic to be seen by a healthcare provider (HCP): Immediate clinic evaluation is not warranted in the absence of fever, dehydration, or persistent vomiting. Routine monitoring and patient education are appropriate at this stage. D. Remain on clear liquids until the vomiting subsides: While hydration is important, restricting intake solely to clear liquids is not necessary unless vomiting is severe. Balanced, easily tolerated foods may be continued as tolerated.