A nurse is reinforcing teaching with a client who is at 10 weeks of gestation regarding the purposes of laboratory tests. Which of the following statements by the client indicates an understanding of the teaching?
"White blood cell count is an indicator of anemia.”
"Urine specific gravity identifies my risk for pregnancy induced hypertension.”
"Platelet count identifies if I am at risk for bleeding.”
"Sedimentation rate checks for signs of cancer.”
The Correct Answer is C
(A) "White blood cell count is an indicator of anemia.”
White blood cell count is not directly related to anemia. Anemia is typically assessed by hemoglobin and hematocrit levels, which reflect the oxygen-carrying capacity of the blood. White blood cell count measures immune system function and can indicate infection or inflammation rather than anemia.
(B) "Urine specific gravity identifies my risk for pregnancy induced hypertension.”
Urine specific gravity is a measure of urine concentration and hydration status, and it is not typically used to identify the risk of pregnancy-induced hypertension (preeclampsia). Preeclampsia is diagnosed based on symptoms such as hypertension (high blood pressure) and proteinuria (protein in the urine), along with other criteria.
(C) "Platelet count identifies if I am at risk for bleeding.”
Platelet count is a laboratory test that measures the number of platelets in the blood. Platelets are essential for blood clotting, so a low platelet count (thrombocytopenia) can indicate an increased risk of bleeding, which is pertinent to pregnancy, especially in cases of conditions like gestational thrombocytopenia or preeclampsia.
(D) "Sedimentation rate checks for signs of cancer.”
The sedimentation rate (ESR or sed rate) is a nonspecific test that measures inflammation in the body, but it is not used to check for signs of cancer specifically. Elevated sedimentation rate can indicate various inflammatory conditions such as infection, autoimmune diseases, or chronic inflammatory disorders. It is not a primary test for cancer diagnosis.
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Related Questions
Correct Answer is B
Explanation
(a) "I will need to start chemotherapy immediately."
Chemotherapy is not typically the first line of treatment for a molar pregnancy unless there is evidence of persistent gestational trophoblastic disease (GTD) or choriocarcinoma, which requires further evaluation and monitoring before making such a decision. This statement indicates a misunderstanding of the typical course of treatment after a molar pregnancy.
(b) "I will need to attend a support group when I get home."
Attending a support group can provide emotional support and coping strategies for individuals recovering from a molar pregnancy. It reflects an understanding of the importance of psychosocial support during recovery.
(c) "I will need an amniocentesis within 1 month."
Amniocentesis is not a routine follow-up procedure for a molar pregnancy. Follow-up typically includes serial measurements of hCG levels to ensure they return to normal and remain stable, which helps in monitoring for potential malignancy. This statement indicates a misunderstanding of the follow-up care required after a molar pregnancy.
(d) "I will need home palliative services after I am discharged from the hospital."
Home palliative services are generally not needed for patients recovering from a molar pregnancy, as the condition does not usually necessitate end-of-life care. This statement indicates a misunderstanding of the recovery process and the type of care required after a molar pregnancy.
Correct Answer is C
Explanation
(a) Avoid swaddling the newborn:
Swaddling is actually beneficial for newborns experiencing neonatal abstinence syndrome. It helps provide comfort and security, reducing irritability and promoting better sleep.
(b) Minimize holding the newborn:
Minimizing holding is not recommended. Holding and gentle handling are important as they provide comfort and can help soothe the newborn. Skin-to-skin contact and gentle rocking are beneficial practices for these infants.
(c) Decrease environmental noise:
Decreasing environmental noise is a key intervention for newborns with neonatal abstinence syndrome. These newborns are often hypersensitive to stimuli, and reducing noise helps create a calming environment that can reduce stress and overstimulation.
(d) Avoid using a pacifier:
Using a pacifier can be helpful for soothing a newborn experiencing neonatal abstinence syndrome. Sucking on a pacifier can provide comfort and help with self-regulation, reducing irritability and distress.
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