Question

A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?

a) Swelling of ankles and feet
b) Weight gain of 2 pounds in the last month
c) Blood pressure of 140/90 mmHg
d) Fetal heart rate of 150 beats per minute

Answer 1

The nurse should report the blood pressure reading of 140/90 mmHg to the provider, as it could be a sign of preeclampsia, which is important to evaluate and manage in pregnancy.

Step-by-step explanation:

The nurse should report a blood pressure of 140/90 mmHg to the provider when assessing a client who is at 30 weeks of gestation. This blood pressure reading may be indicative of hypertensive disorders of pregnancy such as preeclampsia, which requires prompt evaluation and management. Swelling of ankles and feet and a weight gain of 2 pounds in the last month are generally considered normal in the third trimester. However, a fetal heart rate of 150 beats per minute is also within normal limits, as normal fetal heart rate ranges from 110 to 160 beats per minute.