A 16-year-old client at 18 weeks gestation with a normal BMI expresses concern about weight gain during pregnancy. The client wants to know how to avoid gaining too much weight. What is an appropriate response from the nurse?

Choice A rationale

Dysuria, while concerning, is typically less urgent compared to the complete absence of fetal movement, which can indicate fetal distress or demise.

Choice B rationale

Nausea is a common symptom during pregnancy and generally less urgent compared to the absence of fetal movement, which may indicate a serious issue.

Choice C rationale

No fetal movement is a critical concern as it may indicate fetal demise or severe distress requiring immediate assessment and intervention to ensure fetal well-being.

Choice D rationale

A cough in pregnancy can be bothersome but is generally not as urgent compared to the absence of fetal movement, which can indicate potential fetal demise.

Choice A rationale

21-day mixed type pills contain estrogen and progesterone, which can reduce milk supply in breastfeeding mothers and are not recommended.

Choice B rationale

Mixed type pills with estrogen and progesterone are not ideal for breastfeeding mothers as estrogen can interfere with milk production and affect milk quality.

Choice C rationale

Estrogen-only pills are not suitable for breastfeeding mothers as estrogen can decrease milk supply and affect infant feeding patterns, leading to poor weight gain in infants.

Choice D rationale

Progesterone-only pills are recommended for breastfeeding mothers as they do not affect milk supply and are safe for the infant while providing effective contraception.