A nurse is reviewing the electronic medical record of a pregnant client who reports regular use of alcohol.
Which of the following findings should the nurse identify as an indication the client may be at risk for polysubstance use disorder? (Select All that Apply)

Choice A rationale

Ambivalent feelings are common in early pregnancy due to hormonal changes and the significant life adjustments that accompany pregnancy. It is normal for pregnant women to experience mixed emotions as they adapt to the reality of impending parenthood.

Choice B rationale

Suggesting the client speak to her mother about these feelings may not be appropriate as it could dismiss the client's current feelings and needs. While family support is valuable, the nurse should first address the client's concerns directly.

Choice C rationale

Referring the client to a counselor may be necessary in some cases, but it is essential to first normalize the client's feelings. It helps in providing immediate reassurance and understanding before suggesting further intervention.

Choice D rationale

Telling the client "Don't worry, you will be fine once the baby is born" is dismissive and minimizes her current concerns. It is important to validate her feelings and provide supportive responses to help her cope with her emotions.

Choice A rationale

Quickening, the first movements of the fetus felt by the mother, typically occurs between 18-20 weeks gestation. At 18 weeks, it's likely the mother will feel a fluttering sensation soon.

Choice B rationale

While fetal movements can sometimes be felt later, it's generally expected that by 18-20 weeks, movements should be noticeable.

Choice C rationale

The baby does move at 18 weeks, but the mother typically begins to feel these movements at this stage, known as quickening.

Choice D rationale

Suggesting the mother should have felt movement by now could cause unnecessary anxiety. Most women feel their baby's movements between 18-20 weeks. .