A nurse at a provider's office is caring for a client who is in the third trimester of pregnancy. Which of the following findings should the nurse report to the provider?
Explanation & Rationale
A. Blurred vision: Blurred vision in the third trimester may indicate preeclampsia, which is characterized by hypertension, proteinuria, and end-organ effects. Visual disturbances can signal retinal or neurologic involvement, requiring prompt provider evaluation to prevent complications such as seizures or placental insufficiency. B. Leukorrhea: Mild, white or clear vaginal discharge is common during pregnancy due to increased estrogen and cervical mucus production. It is a physiologic finding and does not usually indicate infection or a complication requiring urgent reporting. C. Shortness of breath when climbing stairs: Mild dyspnea is common in late pregnancy due to diaphragmatic elevation and increased oxygen demand. It is generally considered a normal physiologic adaptation and does not necessitate immediate provider notification unless accompanied by chest pain or severe respiratory distress. D. Periodic numbness of the fingers: Intermittent paresthesia may result from fluid retention or pressure on peripheral nerves (e.g., carpal tunnel syndrome). While uncomfortable, it is typically benign and can be managed conservatively without urgent intervention.