It is incorrect but unfortunately common practice for OB's to instruct their office nurses to repeat elevated sitting blood pressures in a lateral recumbent position and, with the lower value, be falsely reassured that "really her blood pressure is OK" and send the patient home. The same problem is potentially likely when a patient is sent from the antepartum floor down to the labor and delivery suite when nurses there are at risk of getting lower pressures for the same reason and then bouncing the patient back to the antepartum floor. There are also issues of cuff size for our increasingly large obstetric patients, electronic vs manual, etc.
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