The nurse is evaluating the lab test results of a prenatal client. See Exhibit. The results have decreased since their pre-pregnancy levels.
Which of the following interventions should the nurse implement?
The nurse is evaluating the lab test results of a prenatal client. See Exhibit. The results have decreased since their pre-pregnancy levels.
Which of the following interventions should the nurse implement?
A. Call the client and request that the levels be redrawn.
[4%]
B. Record these findings and confirm that the client is on a prenatal vitamin during her next visit.
[63%]
C. Report this abnormal finding to the primary healthcare provider (PHCP) immediately.
[30%]
D. Notify the lab that these results are not normal and need to be re-assessed.
[3%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Antepartum
Client Need
Test Plan
Health Promotion and Maintenance
Related Topic
Ante/Intra/Postpartum and Newborn Care
Item Type
Item Type
Application
Explanation
Choice B is correct. These results are typical and should be recorded as such. A drop in pre-pregnancy values is an expected phenomenon if they remain within or close to the normal range. Most women see a decrease in their hemoglobin and hematocrit levels during pregnancy. This phenomenon is known as physiological anemia and occurs as a result of increased plasma volume in the maternal bloodstream. It is essential to confirm that the client is taking prenatal vitamins. Demand for iron increases during pregnancy. Folic acid supplementation is necessary to prevent fetal neural tube defects. Prenatal vitamins will serve to address those needs. Normal hemoglobin in a pregnant client is 11-14 g/dL (110-140 g/L). Normal hematocrit in a pregnant client is 33-44% (0.33-0.45 L/L).
Choice A is incorrect. Redrawing the labs when the results are within the normal range is unnecessary and could cause unnecessary stress to the client.
Choice C is incorrect. The client's hematocrit and hemoglobin levels are within the normal range for a pregnant client. There is no abnormal finding to report to the PHCP.
Choice D is incorrect. The client's hematocrit and hemoglobin levels are within the normal range for a pregnant client. There is no need to notify the lab for reassessment as the results are normal.
Related Videos
2 Key Topics
Nutritional in Pregnancy
28.2 Maternal Nutrition & Safety
Additional Info
✓ Providing education to the client about the importance of proper nutrition, including the intake of iron-rich foods and prenatal vitamins, is crucial. Ensuring the client understands the significance of maintaining a balanced diet can promote overall health during pregnancy.
✓ While the client's current levels are within the normal range, the nurse should be vigilant for any signs or symptoms of anemia during subsequent visits. These may include fatigue, paleness, or shortness of breath. Prompt identification and intervention are essential if anemia develops later in the pregnancy.
✓ Encouraging appropriate physical activity and exercises tailored to the client's health status can promote overall well-being. Physical activity can improve circulation and contribute to the client's overall health during pregnancy.
