A pregnant client at 20 weeks gestation makes which statement that indicates a need for further assessment?

The statement about hating when the baby moves indicates a need for further assessment because it may reflect an underlying issue with the mother's emotional or psychological well-being. Usually, fetal movement is associated with a positive experience and an affirmation of the baby's health and development. Most expectant mothers express excitement or joy when feeling their baby move, as it can signify that the baby is active and thriving.

A negative reaction, such as hatred towards these movements, could suggest feelings of anxiety, fear, or distress regarding the pregnancy or impending motherhood. It may warrant further exploration of the client's mental health, coping mechanisms, or any concerns she may have about her pregnancy or future parenting responsibilities.

In contrast, the other statements reflect more typical emotions and behaviors associated with pregnancy. Regular communication with family, creating excitement and bonding over the baby, and considerations about maternity leave are common and usually healthy expressions of the expectations and adjustments that come with pregnancy. These behaviors indicate that the individual is engaging positively with her pregnancy and planning for the future.