Uworld Maternity - Questions PDF

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MATERNITY A A A The nurse reviews laboratory test results for a pregnant client at 32 weeks gestation. What is the nurse's best action based on these results? Click on the exhibit button for additional information. Laboratory results Hemoglobin 11.4 g/dL (114 g/L) Hematocrit

34% (0.34)

Red blood cells

5.3 x 106/mm3 (5.3 x 1012/L)

White blood cells

14,000/mm³ (14.0 x 109/L)

Platelets

230,000/mm3 (230 x 109/L)

1.

Complete the client assessment and documentation [56%]

2.

Draw another sample for repeat complete blood count [7%]

3.

Prepare for transfusion of packed red blood cells [9%]

4.

Request a prescription for iron supplementation [26%]

EXPLANATION:

Pregnant women experience a 40%-45% increase in total blood volume during pregnancy to meet the increased oxygen demand and nutritional needs of the growing fetus and maternal tissues. Because the increase in plasma volume is greater than the increase in red

blood cells, a hemodiluted state called physiologic anemia of pregnancy occurs, and is reflected in lower hemoglobin and hematocrit values. It is also normal for the white blood cell count to increase during pregnancy; counts can be as high as 15,000/mm3 (15.0 x 109/L). These laboratory results are within the normal ranges for a pregnant client in the third trimester, and no intervention is required (Options 1 and 2). (Option 3) A blood transfusion should not be considered in pregnancy unless severe anemia (hemoglobin...