Test Bank For Olds' Maternal-Newborn Nursing & Women's Health Across the Lifespan, 11th ed

8) The nurse begins a prenatal assessment on a 25-year-old primigravida at 20 weeks' gestation and immediately contacts the healthcare provider because of which finding? A) Pulse 88/minute B) Respirations 30/minute C) Temperature 37.4°C (99.3°F) D) Blood pressure 118/82 mmHg Answer: B Explanation: A) Pulse rate may increase 10-15 beats per minute during pregnancy, with an average of 60-100 beats per minute. B) Tachypnea is not a normal finding and requires medical care. C) A slightly higher temperature is an expected finding during pregnancy, ranging from 36.2°C-37.6°C (97°F-99.6°F). D) A blood pressure of less than or equal to 120/80 mmHg is considered normal. Page Ref: 234 Cognitive Level: Analyzing Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care Standards: QSEN Competencies: V. B. 2. Demonstrate effective use of strategies to reduce risk of harm to self or others. | AACN Essentials Competencies: IX. 12. Create a safe environment that results in high-quality patient outcomes. | NLN Competencies: Quality and Safety: Communicate potential risk factors and actual errors. | Nursing/Integrated Concepts: Nursing Process: Implementation. Learning Outcome: 3 Predict the normal physiologic changes one would expect to find when performing a physical assessment on a pregnant woman. MNL LO: Demonstrate ability to perform assessment and interpret data for a patient during the antepartum period.