A nurse is reviewing the laboratory data for a client who is at her first prenatal visit. The client is at 10 weeks of gestation. Which of the following manifestations should the nurse report to the provider?
2+ ketonuria
1.030 urine specific gravity
Hct 38%
Fasting blood glucose 70 mg/dL
The Correct Answer is A
A. 2+ ketonuria indicates an elevated level of ketones in the urine, which can be a sign of inadequate nutrition or metabolism. This should be reported to the provider for further evaluation.
B. A urine specific gravity of 1.030 is within normal range during pregnancy.
C. A hematocrit (Hct) of 38% is within the normal range for a pregnant individual.
D. A fasting blood glucose level of 70 mg/dL is within the normal range.
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Related Questions
Correct Answer is C
Explanation
A: This infection does not directly cause hearing loss at birth. Hearing loss in newborns can be associated with genetic factors, birth complications, and certain infections, but GBS is not known to be a direct cause of hearing impairment.
B: A positive GBS test result does not necessitate a cesarean birth. The standard management for GBS-positive mothers is the administration of intrapartum antibiotic prophylaxis, not cesarean delivery, unless there are other obstetric indications.
C: Testing for GBS is typically done between 36 and 37 weeks of gestation because this timing is close to delivery, when the test results are most predictive of the baby's risk of exposure during birth.
D: Antibiotics are not given during the last 2 weeks of pregnancy to prevent GBS transmission. Instead, they are administered during labor to ensure effective levels of the drug during delivery, which is the critical period for preventing transmission to the baby.
Correct Answer is D
Explanation
A. A history of spontaneous abortion is not a contraindication for using a transdermal contraceptive patch.
B. Peptic ulcer disease is not a contraindication for using a transdermal contraceptive patch.
C. Blood pressure of 120/70 mm Hg is within the normal range and is not a contraindication for using a transdermal contraceptive patch.
D. The transdermal contraceptive patch may be less effective for individuals with a weight of 90 kg (198 lB. or more. Therefore, it is contraindicated for clients who weigh 98 kg (216 lb). These clients may need to consider alternative contraceptive methods.
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