Which symptom should a nurse instruct a 14-week pregnant client to report immediately?

Swelling of the face during pregnancy, particularly in the second trimester, can be a significant concern and should be reported immediately. This symptom may indicate the development of more serious conditions such as preeclampsia, which is characterized by high blood pressure and can lead to severe complications for both the mother and the baby if left unaddressed. Early recognition and management of preeclampsia are crucial to ensuring the health and safety of both the mother and fetus.

Other symptoms listed, such as increased appetite, fatigue, and mild headaches, can be considered common and typically normal changes in pregnancy, especially as the body adjusts to the growing needs of the fetus and hormonal changes. Light spotting during exercise may occur in some women and can be normal, although any bleeding should also be evaluated in the context of other symptoms and the individual’s health history. However, facial swelling has a more urgent connotation and requires prompt medical attention to rule out any serious complications.