According to the clinic protocol, you obtain the following for her prenatal record: CBC, blood type, urine for urinalysis (UA) (protein, glucose, blood), vital signs (VS), height, and weight

According to the clinic protocol, you obtain the following for her prenatal record: CBC, blood type, urine for urinalysis (UA) (protein, glucose, blood), vital signs (VS), height, and weight. Next, the nurse-midwife does a physical examination, including a pelvic exam and confirms that P.M. is pregnant. P.M. has a gynecoid pelvis by measurement, and the fetus is at approximately 6 weeks' gestation. 

Chart/Exhibit 

Vital Signs 

Blood pressure  116/74 mm Hg 

Heart rate 88 beats/min 

Respiratory rate 16 beats/ min 

Temperature  98.9 F [37.2 C] 

1. Do any of these vital signs cause concern? What should you do? 

1. P.M. tells you that the date of her last menstrual period (LMP) was February 2  
2. What is the significance of a gynecoid pelvis? 
3. What specimens are important to obtain when the pelvic examination is done?