A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause for concern during a contraction?
A) Heart rate increase from 76 bpm to 90 bpm
B) Blood pressure rise from 110/60 mm Hg to 120/74
C) White blood cell count of 12,000 cells/mm3
D) Respiratory rate of 10 breaths /minute
D
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During labor, the mother experiences various physiologic responses including an increase in heart rate by 10 to 20 bpm, a rise in blood pressure by up to 35 mm Hg during a contraction, an increase in white blood cell count to 25,000 to 30,000 cells/mm3, perhaps as a result of tissue trauma, and an increase in respiratory rate with greater oxygen consumption due to the increase in metabolism. A drop in respiratory rate would be a cause for concern.
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