The nurseÔÇÖs assessment findings of the pregnant client include darkening of areola and nipple, presence of GoodellÔÇÖs sign, leukorrhea, HR 124 bpm, dysuria, and heartburn. Of these findings, how many require further evaluation?

There are three abnormal findings that require further evaluation. Leukorrhea needs to be distinguished from a vaginal infection, such as Candida albicans or a sexually transmitted infection. Heart rate can increase by 10 to 15 bpm during pregnancy, but an increase to 124 bpm is too high. Dysuria may be a sign of a UTI. Darkening of the areola and nipple, GoodellÔÇÖs sign, and heartburn are normal findings during pregnancy and do not require further evaluation.