The nurse is assessing a client who is 7 months pregnant. Which assessment finding will the nurse document as a normal finding for this client?
1. Increased systolic and diastolic blood pressures when standing.
2. Point of maximal impulse palpated at fourth intercostal space and left of midclavicular line.
3. Bradycardia.
4. Diastolic murmur.
Correct Answer: 2
During pregnancy, the heart is displaced to the left and upward and so it would be normal to palpate the point of maximal impulse left of the midclavicular line at the fourth intercostal space. At this stage of the client's pregnancy, the blood pressure should be normal when compared to pre-pregnancy values. The pregnancy usually results in an increase in the client's heart rate from pre-pregnancy values. It is not normal to find a diastolic murmur.
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