A 25-year-old primigravida is 20 weeks pregnant. At the clinic, her nurse obtains the following vital signs. Which of these findings would necessitate notifying a doctor immediately?
1. Pulse regular at 88/minute
2. Rhonchi in both bases
3. Temperature 37.4°C (99.3°F)
4. Blood pressure 130/78
2
Rationale:
1. The pulse will increase 10–15 beats/minute during pregnancy, with 60–90 beats/minute being the normal range.
2. Any adventitious breath sounds are abnormal.
3. Temperature norms in pregnancy are slightly higher due to fetal metabolism: 36.2–37.6°C (98–99.6°F).
4. A blood pressure lower than 135/85 is considered normal.
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