A nurse is reinforcing teaching with a client who is at 10 weeks of gestation regarding the purposes of laboratory tests. Which of the following statements by the client indicates an understanding of the teaching?
"White blood cell count is an indicator of anemia.”
"Urine specific gravity identifies my risk for pregnancy induced hypertension.”
"Platelet count identifies if I am at risk for bleeding.”
"Sedimentation rate checks for signs of cancer.”
The Correct Answer is C
(A) "White blood cell count is an indicator of anemia.”
White blood cell count is not directly related to anemia. Anemia is typically assessed by hemoglobin and hematocrit levels, which reflect the oxygen-carrying capacity of the blood. White blood cell count measures immune system function and can indicate infection or inflammation rather than anemia.
(B) "Urine specific gravity identifies my risk for pregnancy induced hypertension.”
Urine specific gravity is a measure of urine concentration and hydration status, and it is not typically used to identify the risk of pregnancy-induced hypertension (preeclampsia). Preeclampsia is diagnosed based on symptoms such as hypertension (high blood pressure) and proteinuria (protein in the urine), along with other criteria.
(C) "Platelet count identifies if I am at risk for bleeding.”
Platelet count is a laboratory test that measures the number of platelets in the blood. Platelets are essential for blood clotting, so a low platelet count (thrombocytopenia) can indicate an increased risk of bleeding, which is pertinent to pregnancy, especially in cases of conditions like gestational thrombocytopenia or preeclampsia.
(D) "Sedimentation rate checks for signs of cancer.”
The sedimentation rate (ESR or sed rate) is a nonspecific test that measures inflammation in the body, but it is not used to check for signs of cancer specifically. Elevated sedimentation rate can indicate various inflammatory conditions such as infection, autoimmune diseases, or chronic inflammatory disorders. It is not a primary test for cancer diagnosis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
(a) Touch the corner of the newborn's mouth:
Touching the corner of the newborn's mouth elicits the rooting reflex, not the Babinski reflex. The rooting reflex causes the newborn to turn their head toward the touch and open their mouth, which helps with feeding.
(b) Place the newborn supine and apply pressure to the soles of the feet:
Applying pressure to the soles of the feet is not a method used to elicit the Babinski reflex. This action might influence other reflexes but not the Babinski.
(c) Stroke upward on the lateral aspect of the sole of the newborn's foot:
This is correct. The Babinski reflex is elicited by stroking upward on the lateral aspect of the sole of the newborn's foot. A positive response is the fanning and extension of the toes, which is normal in newborns.
(d) Pull the newborn up by the wrist from a supine position:
Pulling the newborn up by the wrists from a supine position is used to assess the traction response or pull-to-sit maneuver, which tests the newborn's head control and muscle tone, not the Babinski reflex.
Correct Answer is C
Explanation
(a) "White blood cell count is an indicator of anemia."
A white blood cell (WBC) count is primarily used to assess for infection or inflammation, not anemia. Anemia is typically evaluated by measuring hemoglobin and hematocrit levels, not WBC count. This statement indicates a misunderstanding of the purpose of the WBC count.
(b) "Urine specific gravity identifies my risk for pregnancy induced hypertension."
Urine specific gravity measures the concentration of urine and is used to assess hydration status and kidney function. It does not directly identify the risk for pregnancy-induced hypertension (PIH). The presence of protein in the urine (proteinuria) would be more indicative of PIH. This statement indicates a misunderstanding of the purpose of the urine specific gravity test.
(c) "Platelet count identifies if I am at risk for bleeding."
This is the correct statement. A platelet count is used to determine the number of platelets in the blood, which are essential for normal blood clotting. A low platelet count (thrombocytopenia) can indicate an increased risk of bleeding, while a high count (thrombocytosis) can be associated with clotting disorders.
(d) "Sedimentation rate checks for signs of cancer."
The erythrocyte sedimentation rate (ESR) measures how quickly red blood cells settle at the bottom of a test tube. It is a nonspecific test used to detect inflammation in the body. While an elevated ESR can be associated with various conditions, including infections, autoimmune diseases, and cancers, it is not specifically used to check for cancer. This statement indicates a misunderstanding of the purpose of the sedimentation rate test.
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