Assessment of a pregnant woman and her fetus reveals tachycardia and hypertension. There is also evidence suggesting vasoconstriction. The nurse would question the woman about use of which substance?

Choice A Reason: This is incorrect because hemoconcentration by hypertension is a condition where the blood volume decreases and the blood pressure increases, leading to a higher hemoglobin level. A normal hemoglobin level for a pregnant woman in her second trimester is 10.5 to 14 g/dL. A hemoglobin level of 11 g/dL is within the normal range, not indicative of hemoconcentration.

Choice B Reason: This is incorrect because a multiple gestation pregnancy is a pregnancy with more than one fetus, such as twins or triplets. A multiple gestation pregnancy can cause a lower hemoglobin level due to increased blood volume and increased demand for iron. A hemoglobin level of 11 g/dL is not suggestive of a multiple gestation pregnancy.

Choice C Reason: This is incorrect because greater-than-expected weight gain is not directly related to the hemoglobin level. Weight gain during pregnancy depends on various factors such as pre-pregnancy weight, nutrition, physical activity, and genetics. A hemoglobin level of 11 g/dL does not reflect the weight status of the pregnant client.

Choice D Reason: This is correct because iron-deficiency anemia is a common type of anemia that occurs when the body does not have enough iron to produce enough red blood cells. Iron-deficiency anemia can cause a low hemoglobin level and affect the oxygen delivery to the tissues and the fetus. A hemoglobin level of 11 g/dL may indicate iron-deficiency anemia, especially if the client has other symptoms such as fatigue, weakness, pale skin, or cravings for non-food items. The nurse should confirm the diagnosis with further tests and recommend iron supplements and dietary changes to treat the condition.

Step 1: Determine the total daily dose of quetiapine.

• The provider prescribes 50 mg every 12 hours.
• Total daily dose = 50 mg × 2 = 100 mg.

Step 2: Calculate the total dose for 3 days.

• Total dose for 3 days = 100 mg × 3 = 300 mg.

Step 3: Determine the dose per administration.

• The total daily dose is divided into two doses (every 12 hours).
• Dose per administration = 100 mg ÷ 2 = 50 mg.

Step 4: Calculate the number of tablets needed per dose.

• Each tablet is 25 mg.
• Number of tablets per dose = 50 mg ÷ 25 mg = 2 tablets.

Step 5: Confirm the number of tablets to be administered per dose on day 3.

• The dose per administration remains the same each day.
• Therefore, the nurse should administer 2 tablets per dose on day 3.

So, the nurse should administer 2 tablets per dose on day 3.