A 16-year-old client at her initial prenatal visit expresses, "I don't like my face anymore. I always look like I have been crying." This statement indicates a need for what action?

The statement made by the 16-year-old client suggests a significant concerns about her self-image and her emotional state. Expressing feelings of not liking her face and likening her appearance to someone who has been crying can indicate emotional distress, potentially involving issues such as low self-esteem or depressive symptoms.

Investigating for signs of depression is crucial, especially considering her age and the major life changes associated with pregnancy. Adolescents may already be vulnerable to mental health challenges, and pregnancy can further complicate these feelings. If depression is present, addressing it early can lead to appropriate interventions that will benefit both her mental well-being and her overall pregnancy experience.

Reassurance about pregnancy-related changes or discussing skin changes may not sufficiently address the underlying emotional issues expressed. While these topics are relevant, they do not tackle the potential for depression indicated by her comments. Suggesting a visit to a dermatologist is also not the most appropriate initial step in this context, as the primary concern seems to be emotional rather than purely physical. Therefore, prioritizing a deeper investigation into her mental health is the most appropriate action to take.