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EVOLVE ANTEPARTUM The nurse is performing an assessment of a primigravida who is being evaluated in a clinic during her second trimester of pregnancy. Which findings concern the nurse and indicate the need for follow-up? Select all that apply. - 3. Fetal heart rate of 180 beats/minute t 5. Elevated level of maternal serum alpha-fetoprotein (MSAFP) A pregnant primigravida is seen in the health care clinic and asks the nurse what causes the breasts to change in size and appearance du...