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
Choice A is incorrect because security tags are a vital part of hospital security protocols to prevent newborn abduction, and they should be worn at all times, even when the baby is in the room with the parent.
Choice B is incorrect as while it is important to have a list of authorized individuals, it does not directly prevent abduction; the staff still needs to verify each person's identity before allowing them to take the baby.
Choice C is correct because it demonstrates the client's understanding that all hospital staff should have proper identification, especially when they are involved in newborn care, which is a critical security measure.
Choice D is incorrect because having only one identification band is insufficient; multiple forms of identification for both the parent and the newborn are necessary to ensure the baby's safety and prevent any mix-up or abduction.
Correct Answer is B
Explanation
A. The shoulder harness should be placed between the breasts and off to the side of the gravid uterus, not directly across it. This helps reduce the risk of injury in the event of a crash.
B. Moving the seat as far away as possible from the steering wheel reduces the risk of injury from the steering wheel or airbag impact while still allowing the client to drive safely.
C. The lap belt should be worn low across the hips and under the abdomen, not high across the abdomen, to protect the growing fetus and prevent harm during sudden deceleration.
D. Airbags should not be disabled as they provide essential protection during a crash. Proper seatbelt use and correct seating position allow airbags to function effectively without posing a risk to the pregnant client.
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