Upon arriving at the prenatal clinic in the morning, the nurse receives messages from four clients. Which client complaint should be addressed first?

1. Primipara at 24 weeks' gestation with ankle edema
2. Multipara at 35 weeks' gestation with new onset of hemorrhoids
3. Primipara at 9 weeks' gestation with increased fatigue and nocturia
4. Multipara at 30 weeks' gestation with vaginal bleeding after performing yoga


4
Explanation:
1. Particularly during the second and third trimesters, ankle edema is a common pregnancy-related discomfort.
2. Hemorrhoids are a common pregnancy-related discomfort, especially during the second and third trimesters.
3. Fatigue and increased urination at night is a common pregnancy-related discomfort during the first trimester.
4. Vaginal bleeding after yoga is a warning sign that should be immediately reported to the healthcare provider; this client is the highest priority for care.

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