A patient who is experiencing her first pregnancy has just completed the initial prenatal examination with a certified nurse–midwife. Which statement indicates that the patient needs additional information?
1. "Because we heard the baby's heartbeat, I am undoubtedly pregnant.".
2. "Since I haven't felt the baby move yet, we don't know whether I'm pregnant.".
3. "My last period was 2 months ago, which means I'm 2 months along.".
4. "The increased size of my uterus means that I am finally pregnant.".
2
Rationale 1: Hearing the fetal heart rate is a positive, or diagnostic, change of pregnancy, so this statement would not indicate the need for further teaching.
Rationale 2: Fetal movement is a subjective, or presumptive, change of pregnancy, and is not a reliable indicator in the early months or pregnancy.
Rationale 3: Amenorrhea is a subjective, or presumptive, change of pregnancy, and is not a reliable indicator of pregnancy in the early months.
Rationale 4: Increased uterine size is an objective, or probable, change of pregnancy.
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