A multiparous woman comes in to the prenatal clinic reportin…

A multiparous woman comes in to the prenatal clinic reporting that she missed her period.  She also reports feeling nauseous in the morning and tender breasts.  The nurse informs her she will give her a urine pregnancy test today in the clinic.  The woman states, “Oh that isn’t necessary, I know for sure that I am pregnant.”  What does the nurse know about the signs the patient is reporting?