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Your patient is 32 weeks gestation, and at her visit today, her vitals are as follows:

- Blood Pressure (BP): 90/60
- Temperature, Pulse, Respiration (TPR): 98.6°F, Pulse 92, Respiration 20
- Weight: 145 lb
- Urine: Negative for protein

At her 34-week visit, which of the following findings would you highlight for the physician?

A. BP 110/70; TPR: 99.2°F, Pulse 88, Respiration 20
B. Weight: 155 lb; Urine: 2+ protein
C. Urine protein trace; BP: 88/56
D. Weight: 147 lb; TPR: 99°F, Pulse 76, Respiration 18

Answer :

In a pregnant woman's 34-week visit, the most significant findings to report would be an unusual weight gain of 10 pounds in two weeks and protein caring in urine, both signs of potential issues like gestational diabetes or preeclampsia (option b).

The health-related parameters for a pregnant woman to monitor include blood pressure, temperature, pulse and respiration rate (TPR), weight, and presence of proteins in the urine (proteinuria). In the context of the provided options, option b (Weight 155; urine 2+) may be the most significant to report to the physician.

This is due to an unusual weight gain of 10 pounds in just two weeks, which might indicate potential issues like preeclampsia or gestational diabetes. Urine 2+ indicates a moderate amount of proteins present in the urine, a common symptom of preeclampsia, especially if coupled with increased blood pressure. While the patient's blood pressure is not mentioned, the weight gain and protein in urine are potentially concerning and warrant more detailed evaluation.

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