A nurse is caring for a client who is pregnant for the fourth time.
The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation.
The nurse should document the client's obstetrical history as which of the following?

Choice A rationale

Postpartum depression involves persistent sadness and impaired functioning, typically lasting longer than two weeks. This client’s symptoms suggest a more transient condition.

Choice B rationale

The taking-in phase refers to the period immediately postpartum when the mother focuses on her own needs, not emotional instability as described.

Choice C rationale

Postpartum blues, characterized by mood swings, crying spells, and irritability, typically resolve within two weeks postpartum and are linked to hormonal changes.

Choice D rationale

The taking-hold phase involves active learning about infant care and maternal adjustment, not the emotional lability described in this scenario.

Choice A rationale

Tingling of fingers in pregnancy is linked to hormonal changes and fluid retention, which may cause mild carpal tunnel syndrome. This is a common and non-complication-related discomfort in pregnancy.

Choice B rationale

Absence of clonus indicates no hyperreflexia or neurological compromise. In pregnancy, clonus presence may signal severe preeclampsia, but absence signifies normal neurological function.

Choice C rationale

Leg cramps result from changes in calcium and magnesium metabolism during pregnancy. These are common but are not associated with serious complications unless persistent and related to electrolyte imbalances.

Choice D rationale

Blurred vision may result from severe preeclampsia or elevated blood pressure, signifying potential end-organ damage. It requires immediate medical evaluation to prevent progression to eclampsia.