Cardiovascular system changes occur during pregnancy. Which finding would be consi-dered normal for a woman in her second trimester?
a. Less audible heart sounds (S1, S2)
b. Increased pulse rate
c. Increased blood pressure
d. Decreased red blood cell (RBC) production
B
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A Splitting of S1 and S2 is more audible.
B Between 14 and 20 weeks of gestation, the pulse increases about 10 to 15 beats/min, which persists to term.
C In the first trimester, blood pressure usually remains the same as at the prepreg-nancy level, but it gradually decreases up to about 20 weeks of gestation. During the second trimester both the systolic and diastolic pressures decrease by about 5 to 10 mm Hg.
D Production of RBCs accelerates during pregnancy.
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You are the executive director of the local animal humane society. A staff member you supervise has been working at the society for about one year
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