NUR 1025C Exam 2

NUR 1025C Exam 21. The nurse is assessing a 25-year-old primigravida who is 20 weeks pregnant. Which vital signs finding should the nurse report immediately to the physician? 1. Pulse 88/min 2. Respirations 30/min 3. Blood pressure 134/82 4. Temperature 37.4°C (99.3°F) A slight increase in pulse is an expected finding during pregnancy due to the increased oxygen consumption to support fetal metabolism. Tachypnea is not a normal finding and requires medical care. The blood pressure is within normal limits. A slightly elevated temperature is an expected finding during pregnancy due to the increased oxygen consumption to support fetal metabolism. The nurse is teaching a first-time mother on the danger signs to report to the health care provider. What information should the nurse include in this teaching? (Select all that apply.) A) Extreme thirst B) Shaking chills C) Aching muscles D) Painful urination E) Passage of blood clots A patient has just delivered a baby. Her prelabor vital signs were T - 98.8 B/P-P-R 120/70, 80, 20. Which combination of findings during the early postpartum period should be reported immediately? A) Shaking chills with a fever of 100.3ºF B) B/P-P-R 90/50, 120, 24 C) Bradycardia and excessive, soaking diaphoresis D) Blood loss of 250 mL and WBC 25,000 cells/mL A newborn was diagnosed with a congenital heart defect and will undergo surgery at a later time. The nurse is teaching the parents about signs and symptoms that need to be reported. The nurse determines that the parents have understood the instructions when they state that they will report which of the following? (Select all that apply.) A) Weight loss B) Pale skin C) Fever D) Absence of edema E) Increased respiratory rate A patient with gestational hypertension is exhibiting all of the signs below. What should the nurse report immediately? a. Diarrhea b. Urticaria c. Blurred vision d. Backache Visual disturbances indicate worsening pregnancy-induced hypertension and must be reported promptly for effective intervention to prevent preeclampsia and convulsion. The nurse is conducting discharge teaching for a client going home after a cesarean birth. Which signs and symptoms should the client be taught to report? (Select all that apply.)