A woman comes to the clinic for her first prenatal visit. The nurse is conducting a health history and the woman begins to cry when asked about previous pregnancies. Which response is best for the nurse to provide?

Rationale: A. "Why don't I come back in a few minutes after you are more composed.": Leaving the client alone during an emotional moment can convey disinterest or lack of support. It misses an opportunity to build trust and demonstrate empathy, which are critical in sensitive discussions like past pregnancy experiences. B. Allow the client to compose herself then change the subject: Although allowing time for composure is respectful, abruptly changing the subject can minimize the client's emotions and signals avoidance rather than offering the necessary emotional support during a vulnerable moment. C. Offer a tissue and sit quietly until the crying subsides: Offering a tissue and remaining present without rushing the client shows empathy, respect, and emotional support. Sitting quietly allows the client to express feelings at her own pace and fosters a trusting therapeutic relationship, essential in prenatal care. D. "I'm so sorry that I made you cry. I didn't mean to upset you.": Apologizing focuses attention on the nurse's feelings rather than the client’s experience. It shifts the emotional burden to the client to reassure the nurse, which is not therapeutic or client-centered during emotional disclosures.