The nurse is assessing a client who is 36 weeks pregnant.Her current pulse is 101 bpm,which represents an increase of 10 bpm since her first assessment at 9 weeks of gestation.Which is the nurse's best action related to this assessment finding?

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BDuring pregnancy, a slight increase in heart rate is normal due to the increased blood volume and cardiac output needed to support the growing fetus. A rise of 10 bpm from the first assessment to 36 weeks can be within normal limits, hence documenting the finding is appropriate (A). Retaking the pulse after a short period of rest (B) is also a prudent action to ensure the increase is not due to temporary factors like activity or anxiety. Reporting to the healthcare provider immediately (D) may not be necessary for this level of increase unless accompanied by other concerning symptoms. Teaching the client to monitor her pulse regularly (C) might not be indicated based solely on this information.

The Nurse Is Assessing a Client Who Is 36 Weeks