A client who is 38 weeks pregnant reports increased urinary frequency. Based on this data, which response by the nurse is indicated?

1. "Your reports are consistent with a urinary tract infection."
2. "I will need to check your blood sugar as excessive urination is associated with gestational diabetes."
3. "Reducing your fluid intake will be helpful to manage this problem."
4. "This is normal occurrence in the later stages of pregnancy."


Correct Answer: 4
During the last few weeks prior to delivery, the client will experience lightening. The pressure caused by this event results in frequent urination. It is a normal occurrence. In the absence of other information, this is the most correct response. There are no indications the client has an elevation in blood glucose levels or a urinary tract infection. The health of the pregnancy requires adequate fluid intake. Reduction of fluid intake is problematic as it will reduce fluids available to the fetus. In addition, the condition is not being caused by an increased oral fluid intake.

Nursing

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