The nurse begins a prenatal assessment on a 25-year-old primigravida at 20 weeks' gestation and immediately contacts the healthcare provider because of which finding?
1. Pulse 88/minute
2. Respirations 30/minute
3. Temperature 37.4° C (99.3° F)
4. Blood pressure 134/82
2
Rationale 1: A slight increase in pulse is an expected finding during pregnancy due to the increased oxygen consumption to support fetal metabolism.
Rationale 2: Tachypnea is not a normal finding, and requires medical care.
Rationale 3: A slightly higher temperature is an expected finding during pregnancy due to the increased oxygen consumption to support fetal metabolism.
Rationale 4: A blood pressure of 134/82 is within normal limits.
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