A nurse is reinforcing teaching of a newly licensed nurse about hypothyroidism during pregnancy. Which of the following statements should the nurse reinforce in the teaching?

Clients who have this disorder may have an increased risk of lipid and glucose metabolism disorders.

The client's human chorionic gonadotropin (hCG) levels will plateau in the first trimester of pregnancy.

Thyroid replacement dosing will likely remain consistent throughout the pregnancy.

Antenatal fetal surveillance will be required during the first trimester of pregnancy.