A nurse is performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation. Which of the following findings indicates that the client should be referred to a registered dietician?

The client reports that they are nauseous most mornings.

The client reports a 4.5 kg (10 lb) weight gain since their positive pregnancy test.

The client reports that they take a multivitamin daily.

The client reports that they eat prunes to help manage their constipation.