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?

Choice A reason: Occasional mild nausea is common in early pregnancy due to hormonal changes and does not typically require reporting unless severe or persistent. It is not a concerning finding at 14 weeks, so this is incorrect for urgent reporting. Choice B reason: Mild ankle swelling in the evening can be normal due to fluid retention but is not urgent unless accompanied by other preeclampsia signs. It is less critical than bleeding, so this is incorrect for priority reporting. Choice C reason: Vaginal bleeding at 14 weeks is abnormal and may indicate miscarriage, placental issues, or other complications, requiring immediate reporting to the provider for evaluation. This finding is critical at 14 weeks gestation, aligning with obstetric emergency protocols, making it the correct choice for teaching. Choice D reason: Increased appetite is normal in pregnancy as nutritional needs rise and does not warrant urgent reporting. It reflects healthy adaptation rather than a complication, so this is incorrect for inclusion in teaching about concerning findings.