A nurse is checking laboratory results for a client. Which of the following laboratory findings indicates hypervolemia?

Serum calcium 10 mg/dL

Urine specific gravity 1.001

Serum sodium 138 mEq/L

Urine pH 6.1

Answer and Explanation

The Correct Answer is B

A. Serum calcium levels are not directly indicative of hypervolemia.

B. A urine specific gravity of 1.001 indicates dilute urine, which is a common finding in hypervolemia as the kidneys attempt to excrete excess fluid.

C. Serum sodium levels within the normal range (e.g., 138 mEq/L) are not indicative of hypervolemia.

D. Urine pH of 6.1 is within the normal range and does not specifically indicate hypervolemia.

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Correct Answer is A

Explanation

A. Early decelerations are typically benign and occur in response to head compression during contractions. They mirror the uterine contractions and are not associated with fetal distress.

B. Fetal hypoxia is associated with variable or late decelerations, not early decelerations.

C. Abruptio placentae is a medical emergency characterized by premature separation of the placenta from the uterine wall, which can lead to late decelerations due to fetal hypoxia.

D. Postmaturity is a term used to describe a pregnancy that extends beyond 42 weeks gestation and is not directly related to fetal heart rate patterns during labor.

A. Perform another internal exam. B. Notify the client's provider. C. Check the FHR. D. Obtain a pH test of the fluid.

Correct Answer is C

Explanation

A. Performing another internal exam is not the priority at this moment. The priority is assessing fetal well-being.

B. Notifying the client's provider may be necessary, but it is not the immediate priority.

C. Checking the fetal heart rate (FHR) is the priority action to assess fetal well-being after the observed fluid gush, as it could indicate rupture of membranes and potentially fetal distress.

D. Obtaining a pH test of the fluid can be done later for confirmation of rupture of membranes but is not the immediate priority compared to assessing fetal well-being.

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A nurse is checking laboratory results for a client. Which of the following laboratory findings indicates hypervolemia?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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