A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?
Explanation & Rationale
A. "There is no way to predict how long it will last in each individual client.": Although experiences can vary, there are well-established physiological patterns for urinary frequency in pregnancy. This response is vague and does not offer the client helpful information about what to expect. B. "In most cases it only lasts until the 12th week, but it will continue if you have poor bladder tone.": Urinary frequency typically improves after the first trimester but returns near term due to increased uterine pressure. This response incorrectly links its persistence to bladder tone rather than uterine changes later in pregnancy. C. "It occurs during the first trimester and near the end of the pregnancy.": Urinary frequency is common in early pregnancy due to hormonal effects and increased blood flow to the pelvis. It usually subsides in the second trimester but returns in the third trimester as the enlarging uterus presses on the bladder again. D. "It's a minor inconvenience, which you should ignore.": Dismissing the symptom as a minor inconvenience overlooks the importance of client education. Clients should be encouraged to report concerning symptoms and receive supportive, informative responses from healthcare providers.