The nurse is examining a client in the third trimester of pregnancy. Which of the following findings would require immediate intervention by the nurse?
1. Pulse of 98 beats per minute
2. Weight gain of 1.5 pounds in a month
3. Blood pressure of 148/94
4. Respiratory rate of 26 per minute
3
Rationale 1: The pregnant client's heart and respiratory rates will increase slightly due to an increased circulatory volume and a decrease in intrathoracic space.
Rationale 2: Weight gain should be a pound per month in the second and third trimesters.
Rationale 3: A pregnant client's blood pressure should not be greater than 140/90 and if elevated could be a sign of gestational hypertension or preeclampsia.
Rationale 4: The pregnant client's heart and respiratory rates will increase slightly due to an increased circulatory volume and a decrease in intrathoracic space.
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In which of the following cultural groups should a nurse expect to find assessment of mood and affect most challenging, owing to the characteristics of the groups? (Select all that apply.)
1. Arab Americans 2. Native Americans 3. Latino Americans 4. Western European Americans 5. Asian Americans
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