A nurse is assisting with the care of a client who has been admitted to the labor and delivery unit.
Which of the following diagnostic results should the nurse address first?
Hematocrit 32% (normal range: 32% to 47%).
Hemoglobin 10 g/dL (normal range: 11 to 16 g/dL).
WBC 20,000/mm³ (normal range: 5,000 to 15,000/mm³).
Maternal blood type O negative.
The Correct Answer is C
Choice A rationale
Hematocrit level of 32% is at the lower limit of the normal range for pregnant women, which can be concerning due to increased blood volume during pregnancy, but it is not the most critical issue.
Choice B rationale
Hemoglobin level of 10 g/dL is slightly below the normal range, indicating mild anemia. However, it is not immediately life-threatening and can be managed with iron supplementation.
Choice C rationale
Elevated WBC count of 20,000/mm³ suggests a potential infection or inflammation, which is a significant concern during labor and delivery and requires immediate attention to prevent complications.
Choice D rationale
Maternal blood type O negative is important for Rh incompatibility but is not an immediate threat unless the baby is Rh positive and the mother has not received Rho(D) immune globulin.
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Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D"}
Explanation
Given the client's condition, the nurse should anticipate a provider's prescription for continuous fetal monitoring due to the client’s term gestation with regular contractions. This ensures close observation of both the fetal heart rate and the progress of labor, as the client is at full term with consistent contractions.
Correct Answer is A
Explanation
Choice A rationale
Methadone is commonly prescribed to pregnant women with opioid use disorder. It helps manage withdrawal symptoms and reduces the risk of relapse, which is safer for both the mother and the fetus.
Choice B rationale
Aripiprazole is an antipsychotic medication and is not typically used to treat opioid use disorder during pregnancy.
Choice C rationale
Diazepam is a benzodiazepine, which is not recommended for managing opioid use disorder, especially in pregnant women, due to the risk of dependency and withdrawal.
Choice D rationale
Naloxone is used to treat opioid overdose but is not prescribed as a long-term management medication for opioid use disorder in pregnant women.
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