A client at 16 weeks gestation has had an amniocentesis and has received teaching concerning signs and symptoms to report. Which statement indicates that the client needs further teaching? A. “I need to call if I start to leak fluid from my vagina” B. “If my baby does not move, I need to call my healthcare provider” C. “If my baby does move, I need to call my health care provider.” D. “If I start running a fever, I should let the office know.”
The statement that indicates the client needs further teaching is:
C. “If my baby does move, I need to call my healthcare provider.”
This statement is incorrect because fetal movement is typically a positive sign, not something that would require immediate reporting to a healthcare provider. At 16 weeks, many women may not feel regular fetal movements yet, and even once movements are detectable, they are generally reassuring. Instead, the client should be advised to contact her healthcare provider if there is no fetal movement (as stated in option B) once fetal movement patterns have been established later in pregnancy.
The other options (A, B, and D) indicate situations that may require medical attention, as they could be signs of complications following amniocentesis:
A: Fluid leakage could indicate amniotic fluid loss.
B: Lack of fetal movement (later in pregnancy) could indicate a potential problem.
D: Fever could indicate infection, a potential complication after amniocentesis.