Which of the following is a presumptive sign of pregnancy that a client may experience?

• A. Nocturnal nausea
• B. Breast changes
• C. Increased fatigue
• D. Frequent urination

Answer: (B)

Breast changes are considered a presumptive sign of pregnancy because they are physical indicators that many individuals experience due to hormonal changes that occur early in pregnancy. These changes can include swelling, tenderness, and darkening of the nipples, which are caused by increased levels of estrogen and progesterone. Such physical manifestations often lead individuals to suspect they might be pregnant even before receiving a confirmatory pregnancy test.

Nocturnal nausea, increased fatigue, and frequent urination can also occur during pregnancy but are not typically classified as presumptive signs in the same way that breast changes are. While they can indicate that pregnancy is possible, they may also be attributed to other medical conditions or lifestyle factors and are therefore not as definitive as breast changes in suggesting a pregnancy.