A nurse is assisting with the care of a client who has been admitted to the labor and delivery unit.
Which of the following diagnostic results should the nurse address first?
Hematocrit 32% (normal range: 32% to 47%).
Hemoglobin 10 g/dL (normal range: 11 to 16 g/dL).
WBC 20,000/mm³ (normal range: 5,000 to 15,000/mm³).
Maternal blood type O negative.
The Correct Answer is C
Choice A rationale
Hematocrit level of 32% is at the lower limit of the normal range for pregnant women, which can be concerning due to increased blood volume during pregnancy, but it is not the most critical issue.
Choice B rationale
Hemoglobin level of 10 g/dL is slightly below the normal range, indicating mild anemia. However, it is not immediately life-threatening and can be managed with iron supplementation.
Choice C rationale
Elevated WBC count of 20,000/mm³ suggests a potential infection or inflammation, which is a significant concern during labor and delivery and requires immediate attention to prevent complications.
Choice D rationale
Maternal blood type O negative is important for Rh incompatibility but is not an immediate threat unless the baby is Rh positive and the mother has not received Rho(D) immune globulin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Gallbladder disease does not directly contraindicate the use of an intrauterine device (IUD).
Choice B rationale
An IUD is contraindicated in clients with a positive pregnancy test because it can harm the developing fetus and lead to complications.
Choice C rationale
Smoking is a risk factor for cardiovascular issues but does not specifically contraindicate the use of an IUD.
Choice D rationale
Being nulliparous (having never given birth) is not a contraindication for IUD use; it may pose some challenges but is not a strict contraindication.
Correct Answer is A
Explanation
Choice A rationale
Recognizing that a baby sucking on his hands is a hunger cue is important for timely breastfeeding. This behavior typically indicates that the baby is hungry and ready to feed. Responding to early hunger cues, like hand sucking, helps establish effective breastfeeding and ensures the baby receives adequate nutrition.
Choice B rationale
Feeding a baby only six times a day might not be sufficient for newborns, who typically require more frequent feedings. Newborns often need to be fed 8 to 12 times a day, including at night, to ensure they receive enough nourishment for healthy growth and development.
Choice C rationale
Feeding the baby for 10 minutes on each breast may not be long enough to ensure the baby gets both the foremilk and the hindmilk. The duration of feeding can vary, and it is often advised to let the baby feed until they naturally release the breast to ensure adequate intake and proper milk flow.
Choice D rationale
Waking the baby at least every 6 hours at night for feedings is generally not recommended for newborns, who usually need to be fed more frequently. It is crucial to feed newborns every 2 to 3 hours, including during the night, to support their growth and development, ensuring they do not go too long without nourishment. .
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