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Answer :
Final answer:
The most concerning change from the 32-week to the 34-week appointment is weight gain of 10 lb and the presence of protein in urine, both of which should be highlighted to the nurse midwife.
Explanation:
The nurse should highlight option b) Weight 155 lb; urine protein +2 at the 34-week appointment for the nurse midwife. This is because an increase in weight of 10 lb in two weeks suggests excessive weight gain which could be a sign of gestational edema. Also, the presence of protein in the urine (+2) is significant as it might suggest potential kidney problems or preeclampsia, a serious condition in pregnancy characterized by high blood pressure and protein in the urine.
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