The nurse is examining a client in the third trimester of pregnancy. Which finding 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 mmHg.
4. Respiratory rate of 26 per minute.
Correct Answer: 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. The pregnant client's heart and respiratory rates will increase slightly due to an increased circulatory volume and a decrease in intrathoracic space. Weight gain should be one pound per month in the second and third trimesters.
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