Author Question: A 25-year-old primigravida is 20 weeks pregnant. At the clinic, her nurse obtains the following ... (Read 59 times)

theo · **on:** Jun 27, 2018

A 25-year-old primigravida is 20 weeks pregnant. At the clinic, her nurse obtains the following vital signs. Which of these findings would necessitate notifying a doctor immediately?

1. Pulse regular at 88/minute
2. Rhonchi in both bases
3. Temperature 37.4C (99.3F)
4. Blood pressure 130/78

Question 2

A client experiences an ectopic pregnancy following two episodes of PID. The nurse explains that the most likely reason for this occurrence is

a. delayed ovulation
b. disturbances of the normal menstrual cycle
c. rapid transport of the fertilized egg
d. scar tissue in the fallopian tubes

Anton · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Rationale:
1. The pulse will increase 1015 beats/minute during pregnancy, with 6090 beats/minute being the normal range.
2. Any adventitious breath sounds are abnormal.
3. Temperature norms in pregnancy are slightly higher due to fetal metabolism: 36.237.6C (9899.6F).
4. A blood pressure lower than 135/85 is considered normal.

Answer to Question 2

D
Scar tissue in the fallopian tubes is the most common cause of ectopic pregnancy. Delayed ovulation, disturbances of the normal menstrual cycle, and rapid transport of the fertilized egg are not factors resulting from PID.