A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?
Hemoglobin 16 g/dL
Hematocrit 48%
Platelets 100,000/mm3
Blood glucose 58 mg/dL
The Correct Answer is C
The nurse should report a platelet count of 60,000/mm to the provider as this value is below the normal range and can indicate severe preeclampsia or HELLP syndrome, both of which are serious conditions that require immediate medical intervention. The other values are within normal range for pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Gestational diabetes mellitus (GDM) is a condition in which a pregnant woman develops high blood sugar levels during pregnancy. Complications of GDM can include macrosomia (a larger-than-average baby), polyhydramnios (an excessive amount of amniotic fluid), and preterm labor. One of the ways to monitor for these complications is through regular fundal height measurements. A fundal height measurement that is significantly larger than expected can indicate macrosomia or polyhydramnios, which can lead to complications during delivery.
Option B is incorrect because a fasting blood glucose of 90 mg/dL is within the normal range for a non-pregnant individual, and it is lower than the target range for a pregnant woman with GDM.
Option C is also incorrect because a fetal movement count of 12 in 1 hour is within the normal range.
Option D is incorrect because non-pitting pedal edema is a common finding in pregnancy and is not typically a cause for concern.
Correct Answer is C
Explanation
Magnesium sulfate is a medication used to prevent and treat seizures in clients with preeclampsia and eclampsia. It is also used to stop preterm labor. However, magnesium sulfate can cause a variety of side effects, including decreased reflexes, which can be a sign of magnesium toxicity. Therefore, it is important for the nurse to monitor the client for signs of toxicity.
Option A is incorrect because a decrease in the frequency of contractions is a desired effect of magnesium sulfate when it is used to stop preterm labor.
Option B is also incorrect because although a blood pressure of 150/100 mm Hg is elevated, it is not an unexpected finding in a client with preeclampsia, and it may actually be considered an improvement if the client's blood pressure was previously higher.
Option D is incorrect because a urinary output of 35 mL/hr is within the normal range for an adult.
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