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    RN Comprehensive Predictor 2026 Proctored Exam

    A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?

    Explanation & Rationale

    Rationale: A. Mild dizziness or faintness when standing (orthostatic hypotension) can occur in early pregnancy due to progesterone-induced vasodilation and cardiovascular adjustments. While clients should be advised to change positions slowly, this is generally expected and not a danger sign requiring provider notification unless severe or persistent. B. Bleeding or swollen gums (pregnancy gingivitis) are common during pregnancy due to increased estrogen levels and enhanced vascularity of oral tissues. Although clients should maintain good oral hygiene and seek dental care, this is not a condition that requires immediate reporting as a warning sign. C. Facial swelling can be an indication of preeclampsia, especially if it is sudden or accompanied by other symptoms such as headache, visual changes, or elevated blood pressure. This is an abnormal finding and should be reported promptly to the provider for further evaluation. D. Urinary frequency is a common finding in pregnancy due to hormonal changes and uterine pressure on the bladder. It is expected in the first and third trimesters and does not require provider notification unless accompanied by signs of infection such as burning or fever.

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