A pregnant client in her second trimester has a hemoglobin level of 11 g/dL. The nurse interprets this as indicating
Hemodilution of pregnancy
A multiple gestation pregnancy
Greater-than-expected weight gain
Iron-deficiency anemia
The Correct Answer is A
Choice A: Hemodilution of pregnancy is a normal physiological phenomenon that occurs when the plasma volume increases more than the red blood cell mass, resulting in a lower hemoglobin concentration. The normal hemoglobin range for pregnant women in the second trimester is 10.5 to 14 g/dL.
Choice B: A multiple gestation pregnancy may cause a higher hemoglobin level due to increased erythropoietin production by the placenta. The normal hemoglobin range for pregnant women with twins in the second trimester is 12 to 16 g/dL.
Choice C: Greater-than-expected weight gain is not related to hemoglobin level. Weight gain during pregnancy depends on various factors such as pre-pregnancy weight, nutrition, activity level, and fetal growth.
Choice D: Iron-deficiency anemia is a condition where the hemoglobin level is below the normal range due to inadequate iron intake or absorption, blood loss, or increased iron demand. The signs and symptoms of iron-deficiency anemia include fatigue, pallor, weakness, shortness of breath, and pica.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason: This is incorrect because Ortolani's sign is a test for hip dysplasia in infants, not a sign of pregnancy. It involves moving the infant's legs to check for a clicking sound in the hip joint.
Choice B Reason: This is incorrect because Chadwick's sign is a bluish or purplish discoloration of the cervix, vagina, and vulva during pregnancy, not a softening of the lower uterine segment. It is caused by increased blood flow to the pelvic area.
Choice C Reason: This is incorrect because Goodell's sign is a softening of the cervix during pregnancy, not a softening of the lower uterine segment. It is caused by increased vascularity and edema of the cervical tissue.
Choice D Reason: This is correct because Hegar's sign is a softening of the lower uterine segment or isthmus during pregnancy. It can be felt by bimanual examination around six to twelve weeks of gestation.
Correct Answer is D
Explanation
Choice A Reason: This is incorrect because it is too early. Naegele's rule is a formula that estimates the date of birth by adding one year, subtracting three months, and adding seven days to the date of the last menstrual period. Applying this rule to April 11 gives February 18, not February 24.
Choice B Reason: This is incorrect because it is too early. Naegele's rule gives February 18, not January 18.
Choice C Reason: This is incorrect because it is too early. Naegele's rule gives February 18, not January 25.
Choice D Reason: This is correct because it follows Naegele's rule. Adding one year, subtracting three months, and adding seven days to April 11 gives February 18.
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