Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?

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 B rationale: Pre-eclampsia is characterized by high blood pressure and protein in the urine after 20 weeks of pregnancy. The client's urine protein is negative, and she is only presumptively pregnant at this stage, making pre-eclampsia unlikely.

Choice C rationale: The detection of Gonorrhea in the client's urine sample indicates an active infection. Gonorrhea is a sexually transmitted infection that can cause symptoms such as vaginal discharge, burning with urination, and increased urinary frequency, which the client is experiencing.

Choice D rationale: Pyelonephritis, a severe urinary tract infection, is indicated by the presence of many bacteria and positive nitrites in the urine, along with symptoms like fever and flank pain. The client’s urine test results and symptoms suggest pyelonephritis.