The nurse is collecting data from the client 24 hr later.
How should the nurse interpret the findings?

Choice A rationale

Tingling in the fingers is not a common discomfort during the first trimester of pregnancy. It may indicate other conditions such as carpal tunnel syndrome or vitamin deficiencies that should be evaluated by a healthcare provider.

Choice B rationale

Round ligament pain typically occurs in the second trimester as the uterus expands, not during the first trimester. This pain is caused by the stretching of ligaments that support the uterus.

Choice C rationale

Urinary urgency and frequency are common discomforts in the first trimester due to hormonal changes and increased blood flow to the pelvic area. The growing uterus can also put pressure on the bladder, leading to frequent urination.

Choice D rationale

Perineal itching and pressure are not typical discomforts of the first trimester. These symptoms might indicate infections or other conditions that should be addressed by a healthcare provider.

Choice A rationale

Medroxyprogesterone acetate injections are typically administered every three months, not once per month. It is a long-acting contraceptive method that works by preventing ovulation and thickening cervical mucus to prevent sperm penetration.

Choice B rationale

Combined estrogen-progestin contraceptive pills can actually shorten and lighten menstrual periods for many users. These pills regulate the menstrual cycle and decrease menstrual flow, making periods more manageable.

Choice C rationale

Diaphragms typically need to be replaced every 1-2 years, depending on the type and condition of the device. Regular check-ups with a healthcare provider ensure the diaphragm fits properly and remains effective in preventing pregnancy.

Choice D rationale

Oral contraceptives have been shown to reduce the risk of endometrial cancer by preventing the thickening of the uterine lining, which lowers the chance of abnormal cell growth. The protective effect increases with prolonged use.