Maternity Nursing Q 189

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Which of the following is an abnormal vital sign in postpartum?

  

     A. Pulse rate between 50-60/min

     B. BP diastolic increase from 80 to 95mm Hg

     C. BP systolic between 100-120mm Hg

     D. Respiratory rate of 16-20/min

    

    

Correct Answer: B. BP diastolic increase from 80 to 95mm Hg

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All the vital signs given in the choices are within normal range except an increase of 15mm Hg in the diastolic which is a possible sign of hypertension in pregnancy.

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Option A: The pulse rate may be elevated a few hours after the childbirth, due to excitement or pain, and usually normalizes on the second day.

Option C: The blood pressure could be elevated due to pain or excitement but is generally in the normal range. A significant decrease (> 20% below baseline) in blood pressure could be a sign of postpartum hemorrhage or septic shock.[4] Conversely, high blood pressure could be a sign of pain or pre-eclampsia.

Option D: The respiratory rate also begins to fall back to the pre-pregnancy level within 2 to 3 days.

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