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A nurse is reviewing the laboratory results of a client who is at 20 weeks of gestation and has type 1 diabetes mellitus. Which of the following findings should the nurse report to the provider?

A.

Hct 34%.

B.

BUN 25 mg/dL.

C.

Platelets 170,000/mm.

D.

HbA1c 6%.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Hct (hematocrit) of 34% is a normal finding during pregnancy. Normal ranges vary during  pregnancy, but generally, a hematocrit between 33% to 45% is considered normal during the  second trimester. 

Choice B rationale: 

BUN (blood urea nitrogen) of 25 mg/dL should be reported to the provider. BUN measures  kidney function, and during pregnancy, values above 20 mg/dL may indicate possible  impaired kidney function, which requires further evaluation. 

Choice C rationale: 

Platelets of 170,000/mm³ are within the normal range during pregnancy. The normal platelet  count during pregnancy is typically between 150,000 to 400,000/mm³. 

Choice D rationale: 

HbA1c (glycated hemoglobin) of 6% is a good indicator of blood sugar control and is within  the target range for a pregnant woman with diabetes. The target HbA1c level for pregnant  women with diabetes is usually around 6% or lower.


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Related Questions

Correct Answer is C

Explanation

The correct answer is choice C: Verify that informed consent is obtained prior to administration. Choice A rationale: Placing the client in a semi-Fowler’s position is not specifically related to the administration of dinoprostone. This position is often used post-administration to promote comfort and labor progression, but it is not a required action prior to the administration of dinoprostone. Choice B rationale: Instructing the client to avoid urinary elimination until after administration is not necessary. There is no evidence to suggest that retaining urine affects the efficacy or safety of dinoprostone administration. Choice C rationale: Verifying that informed consent is obtained prior to administration is crucial. Dinoprostone, like any medication used to induce labor, carries potential risks and side effects. It is essential that the client is informed about these risks and consents to the procedure before the medication is administered. Choice D rationale: Allowing the medication to reach room temperature prior to administration is not a standard requirement for dinoprostone inserts. Medications have specific storage and administration guidelines that should be followed according to the manufacturer’s instructions and facility protocols.

Correct Answer is D

Explanation

Choice A rationale:

Betamethasone is a corticosteroid used to enhance lung maturity in preterm infants and has no role in treating uterine atony.

Choice B rationale:

Hydralazine is an antihypertensive medication used to lower blood pressure and is not indicated for the management of uterine atony.

Choice C rationale:

Terbutaline is a tocolytic medication used to relax the uterus and delay preterm labour. It is not used to address uterine atony.

Choice D rationale:

Methylergonovine is a uterotonic medication commonly used to treat uterine atony by causing uterine contractions and controlling postpartum bleeding. It helps the uterus contract and prevents further blood loss.

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