A client who is experiencing her first pregnancy has just completed the initial prenatal examination with a certified nurse–midwife. Which statement indicates that the client has a correct understanding of her condition?
1. "The increased size of my uterus means that I am finally pregnant."
2. "Because we heard the baby's heartbeat, I am undoubtedly pregnant."
3. "Since I haven't felt the baby move yet, we don't know if I'm pregnant."
4. "My last period was 2 months ago, which means I'm 2 months along."
2
Explanation:
1. Increased uterine size is a probable, or objective, change and does not conclusively verify pregnancy status.
2. Hearing the fetal heart rate is a positive, or diagnostic, change of pregnancy.
3. Fetal movement is a presumptive, or subjective, change of pregnancy. Absence or presence of the sensation of fetal movement is not a conclusive indicator of pregnancy status.
4. Amenorrhea is a presumptive, or subjective, change and does not conclusively verify pregnancy status.
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