Final answer:
The nurse knows further teaching is necessary if a client makes the statement: c) My water breaking is the first sign of labor.
Step-by-step explanation:
While it is true that the amniotic sac breaking is a common occurrence before labor, it is not always the first sign of labor for all women. Some women may experience other signs before their water breaks, such as backache, cramping, or contractions becoming stronger and more frequent. In fact, these are often considered early signs of labor.
It is important to note that every woman's experience with labor can differ, and what may be true for one woman may not necessarily apply to another. Therefore, it is crucial for the nurse to provide comprehensive education about the various signs and symptoms of labor to ensure expectant clients are well-informed and prepared. Therefore the correct answer is c) My water breaking is the first sign of labor.