A nurse is reinforcing teaching with a client who developed vaginal candidiasis during a course of antimicrobial therapy. The client is using ever the counter miconazole vaginal cream. Which of the following client statements indicates an understanding of the teaching

A. "I might develop a line down the middle of my stomach during pregnancy." The client is describing linea nigra, a common skin change in pregnancy caused by hormonal changes that increase melanin production. This dark line extends from the pubic area to the umbilicus (or higher) and usually fades after delivery.
B. "I can expect a yellow discharge from my vagina during the second trimester." A yellow vaginal discharge may indicate infection, such as bacterial vaginosis or sexually transmitted infections, which require medical evaluation. Normal vaginal discharge during pregnancy is known as leukorrhea, a thin, white, or milky discharge that increases due to hormonal changes.
C. "I might develop stretch marks on my stomach that will disappear after delivery." Stretch marks (striae gravidarum) commonly develop on the abdomen, breasts, and thighs due to skin stretching and hormonal influences. While they may fade over time, they do not completely disappear after delivery.
D. "I can expect to have Braxton Hicks contractions during the first trimester." Braxton Hicks contractions, or "false labor" contractions, typically begin in the second or third trimester as the uterus prepares for labor. They are usually irregular, painless, and do not indicate true labor. It is uncommon to experience Braxton Hicks contractions in the first trimester.

A. Fever. Nalbuphine hydrochloride is an opioid analgesic that does not typically cause fever as an adverse effect. Fever in a laboring client may indicate infection rather than a reaction to the medication.
B. Diuresis. Nalbuphine does not promote diuresis (increased urination). Opioids can sometimes cause urinary retention rather than increased urine output due to their effects on smooth muscle relaxation.
C. Diarrhea. Opioids, including nalbuphine, generally cause constipation rather than diarrhea due to their slowing effect on gastrointestinal motility. Clients in labor may also experience decreased bowel activity, making diarrhea an unlikely adverse effect.
D. Sedation. Sedation is a common adverse effect of nalbuphine hydrochloride due to its central nervous system depressant properties. Clients may experience drowsiness, dizziness, or reduced alertness, which should be monitored to ensure maternal and fetal safety during labor.