The Clinic Nurse Is Assisting with an Initial Prenatal Assessment

The clinic nurse is assisting with an initial prenatal assessment. The following findings are present: spider nevi on lower legs; dark pink, edematous nasal mucosa; mild enlargement of the thyroid gland; mottled skin and pallor on palms and nail beds; heart rate 88 with murmur present. What is the best action for the nurse to take based on these findings?

A) Document the findings on the prenatal chart.
B) Have the physician see the client today.
C) Instruct the client to avoid direct sunlight.
D) Analyze previous thyroid hormone lab results.