During a prenatal visit, what is a concerning statement from a client that may indicate psychological distress?

The statement "I don’t enjoy things I used to like anymore" indicates a significant change in mood and interests, which is a hallmark of psychological distress, particularly symptoms of depression. This condition, known as anhedonia, reflects a loss of interest or pleasure in activities that were previously enjoyable, suggesting a decline in emotional well-being.

In a prenatal context, this statement can be particularly concerning as it may signal the onset of postpartum depression, which can affect not only the mother's health but also the developing fetus and the dynamics of parenthood. Monitoring mood and emotional health during pregnancy is crucial, and such a declaration could warrant further assessment and support.

The other statements, while potentially indicative of some everyday concerns during pregnancy, do not carry the same level of concern regarding psychological distress. Increased fatigue can be typical in pregnancy, excitement about motherhood is a positive sign, and feelings of hunger are common as well. Hence, these do not suggest the profound emotional changes reflected in the correct statement.