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bamagurley bamagurley
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6 years ago
A 25-year-old primigravida is at 20 weeks' gestation. The nurse takes her vital signs and notifies the healthcare provider immediately because of which finding?
 
  1. Pulse 88/minute
  2. Rhonchi in both bases
  3. Temperature 37.4C (99.3F)
  4. Blood pressure 130/78
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6 years ago
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Rationale 1: The pulse will increase 1015 beats/minute during pregnancy, with 6090 beats/minute being the normal range.
Rationale 2: Any adventitious breath sounds are abnormal.
Rationale 3: Temperature norms in pregnancy are slightly higher due to fetal metabolism: 36.237.6C (9899.6F).
Rationale 4: A blood pressure lower than 135/85 is considered normal.
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