It is 1 week before a pregnant patient's due date. The nurse notes on the chart that the patient's pulse rate was 74–80 before pregnancy. Today, the patient's pulse rate at rest is 90. What action should the nurse should take?
1. Chart the findings.
2. Notify the physician of tachycardia.
3. Prepare the patient for an electrocardiogram (EKG).
4. Prepare the patient for transport to the hospital.
1
Rationale 1: The pulse rate will increase 10–15 beats per minute at term due to the increased blood volume during pregnancy. This is a normal response, and does not indicate a need for emergency measures or treatment.
Rationale 2: This pulse rate in a near-term patient is not considered to be tachycardia.
Rationale 3: This pulse rate in a near-term patient does not indicate a need for emergency measures or treatment.
Rationale 4: This patient does not need to go to the hospital.
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