A pregnant client enjoys exercising at a local health spa once a week. Which comment would lead the nurse to believe they need additional teaching?

A. Heartburn: Heartburn is a common issue during pregnancy, especially as the pregnancy progresses, due to hormonal changes and pressure from the growing uterus. While uncomfortable, it is not a danger sign requiring immediate medical attention.

B. Vaginal bleeding: Vaginal bleeding is a serious concern during pregnancy, especially in the first and second trimesters. It can indicate complications such as a miscarriage, ectopic pregnancy, or placental abruption. It is important to call the healthcare provider immediately if any vaginal bleeding occurs.

C. Fatigue: Fatigue is a common symptom during pregnancy, particularly in the first and third trimesters, due to hormonal changes, increased blood volume, and the body's efforts to support fetal growth. It is generally not a reason to call the office immediately.

D. Once daily emesis upon awakening: Vomiting, especially in the early stages of pregnancy, is common and may be related to morning sickness. While it can be uncomfortable, occasional vomiting in the morning does not typically require immediate medical attention unless it becomes severe or persistent.

A. "Nothing feels nicer than a hot sauna after exercise": Hot saunas should be avoided during pregnancy, especially in the first trimester, as they can raise the body temperature to unsafe levels, potentially leading to dehydration, overheating, or harm to the developing fetus.

B. "The gym gets hot and stuffy by midmorning": While the temperature of the gym may be uncomfortable, it is not inherently unsafe unless the environment becomes excessively hot or poorly ventilated. The concern here would be ensuring the client avoids overheating by taking breaks and staying hydrated.

C. "I'm learning to play table tennis": Table tennis is a low-impact activity that is generally safe during pregnancy. It does not involve high-intensity or risky movements that could cause harm to the pregnant individual or the baby.

D. "I limit exercising to low-impact aerobics": Low-impact aerobics is generally considered a safe form of exercise during pregnancy, as it minimizes stress on the joints and reduces the risk of injury. This comment indicates that the client is making appropriate exercise choices.