A nurse is educating a pregnant client about normal vaginal changes during pregnancy. Which statement by the client indicates a need for further teaching?

A. I should report any pain, burning, or itching associated with the vaginal discharge: Pain, itching, or burning are signs of possible infection and should be reported promptly. These symptoms are not typical of normal pregnancy changes. Reporting them helps prevent complications. This statement reflects appropriate understanding. B. I understand that an increase in vaginal discharge is normal during pregnancy: Hormonal changes during pregnancy lead to increased vaginal secretions. This discharge, known as leukorrhea, is usually clear or white and non-irritating. Recognizing this as normal indicates correct learning. C. I should be concerned if I experience a white, odorless vaginal discharge: White, odorless discharge is considered normal in pregnancy and does not require concern. Thinking it is abnormal shows a misunderstanding of physiological changes. This indicates a need for further education about normal discharge patterns. D. My vaginal walls may appear bluish due to increased blood flow: Increased vascularization causes a bluish discoloration of the vaginal mucosa, known as Chadwick’s sign. It is a normal early sign of pregnancy. The client’s awareness of this change reflects accurate knowledge.