The nurse is assessing a client who is in the third trimester of pregnancy. Which finding would require immediate intervention by the nurse?
A) Blood pressure of 142/92 mmHg
B) Pulse of 92 beats per minute
C) Respiratory rate of 24 per minute
D) Weight gain of 16 oz per week
Answer: A
A pregnant client's blood pressure should not be greater than 140/90 mmHg, and if it is elevated, it could be a sign of gestational hypertension or preeclampsia. The pregnant client's heart and respiratory rates will increase slightly as a result of an increased circulatory volume and a decrease in intrathoracic space. Weight gain should average a pound per week in the second and third trimesters.
You might also like to view...
A 7-year-old girl is brought to the clinic by her mother. The mother states that the child will be engaged in some activity at home and then will just stop for a few seconds and then pick up the activity again as if there had been no break in what
she was doing. The nurse suspects the child might be demonstrating what type of seizure? A) Tonic–clonic seizure B) Absence seizure C) Myoclonic seizure D) Status epilepticus
In an attempt to contain the staffing budget the nurse manager may introduce:
1. Advanced practice nurses 2. Cross training of nursing staff 3. Longer work days 4. Nurses with bachelor degrees
Which of the following is not a common input device?
1. Network 2. Keyboard 3. Webcamera 4. Joystick
Thorpe, Woodruff, and Ginsburg (2005) have noted a variety of key elements that have contributed to the rising costs of health care. Which of these elements does not belong?
a. Aging of the population c. Practitioner behavior b. Increased use of new technologies d. Nursing shortage