A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Which of the following findings should the nurse expect?

Rationale:

A. A WBC count of 11,000/mm3 is slightly elevated but may be within normal limits, as the normal range for WBC count can vary slightly depending on the laboratory. It is not typically concerning during pregnancy.

B. A hematocrit of 37% is within the normal range for pregnancy (37% to 47%) and does not require immediate reporting to the provider.

C. A fasting blood glucose level of 180 mg/dL is significantly elevated and indicates hyperglycemia, which may be indicative of gestational diabetes mellitus or pre-existing diabetes. This finding should be reported to the provider for further evaluation and management.

D. A creatinine level of 0.9 mg/dL is within the normal range (0.5 to 1 mg/dL) and does not require immediate reporting to the provider.

Rationale:

A. Instructing the client about an autopsy is not the immediate priority and may not be appropriate at this sensitive time.

B. Informing the client about the law regarding naming the fetus is not a priority and may add unnecessary stress to the situation.

C. Providing photos of the fetus is the most appropriate action since it minimzes the trauma to the mother while providing closures.

D. Limiting the amount of time the fetus is in the client's room is not appropriate as when the mother needs more time with the fetus, she hsould be allowed to provide for closure