Chapter 6: Knowledge Integration

Case Study 3: Pregnant Adult Client

Initial Assessment Data

  • Biographical data: Pregnant adult client (age 32)
  • Reason for seeking care: Shortness of breath at a prenatal visit
  • History of health/illness: 36 weeks pregnant
  • Past history: No medications, no illnesses

Vital Sign Measurements

1430 hrs, August 14, 2018

  • T 37.1°C axilla
  • RR 14 (shallow breathing)
  • P 92 (radial), regular rhythm, 2+ force, Sp02 97%
  • BP 134/90 mm Hg (right arm, sitting position)

Baseline vital signs (pre-pregnancy)

  • T 36.7°C axilla
  • RR 14
  • P 84, regular rhythm, 2+ force, Sp02 97%
  • BP 124/74 mm Hg (right arm)

 

Think about the client data and try to answer the following questions. Write your answers on a piece of paper.

  1. What needs to be considered when interpreting the vital signs findings of this pregnant client?
  2. Which vital sign findings are considered abnormal for this pregnant client? What medical terminology is used to define/label these findings?
Go to the next page to check your answers.

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Vital Sign Measurement Across the Lifespan - 1st Canadian edition Copyright © 2018 by Ryerson University is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.