A nurse is reviewing lab results for a pregnant patient. Which lab result will the nurse immediately report to the healthcare provider?

red blood cell counts 4.5 million/cu mm

Haematocrit 37%

Platelets 85,000/mm3

Haemoglobin 14 g/dL

Answer and Explanation

The Correct Answer is C

Choice A reason: A red blood cell count of 4.5 million/cu mm is within the normal range for pregnant women. It does not indicate an immediate concern that needs to be reported to the healthcare provider. Normal red blood cell counts help ensure adequate oxygen transport in the body.

Choice B reason: A haematocrit level of 37% is also within the normal range for pregnant women. Haematocrit measures the proportion of red blood cells in the blood, and this level does not indicate an immediate concern. It is important for maintaining proper oxygen delivery and overall blood volume.

Choice C reason: Platelets 85,000/mm3 is significantly below the normal range (150,000-450,000/mm3). Low platelet counts (thrombocytopenia) can lead to increased risk of bleeding and can be a sign of conditions like preeclampsia, HELLP syndrome, or other blood disorders. This is a critical finding that needs to be immediately reported to the healthcare provider for further evaluation and management to prevent potential complications.

Choice D reason: Haemoglobin level of 14 g/dL is within the normal range for pregnant women and indicates good oxygen-carrying capacity of the blood. It does not represent an immediate concern that would require urgent reporting to the healthcare provider. Maintaining proper haemoglobin levels is crucial for overall health and well-being.

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Correct Answer is B

Explanation

Choice A reason: Anencephaly is a severe neural tube defect where a major portion of the brain, skull, and scalp is missing. It does not present with a tuft of hair on the lumbosacral area.

Choice B reason: Spina bifida, specifically spina bifida occulta, is associated with a small tuft of hair on the lumbosacral area. This condition involves a defect in the spinal column where the bones do not close completely, but the spinal cord and nerves are usually not affected.

Choice C reason: Meningocele is a type of spina bifida where the protective membranes (meninges) protrude through an opening in the spine, forming a sac filled with cerebrospinal fluid. While it involves a spinal defect, it does not typically present with a tuft of hair.

Choice D reason: Myelomeningocele is the most severe form of spina bifida where the spinal cord and nerves protrude through an opening in the spine. This condition often results in more significant neurological deficits and is not specifically associated with a tuft of hair on the lumbosacral area.

A. Call the provider to request an enteral tube. B. Provide large, padded utensils. C. Have the parents feed the child. D. Refer the patient to the nutritionist.

Correct Answer is B

Explanation

Choice A reason: Requesting an enteral tube is not necessary unless the child is unable to eat orally at all. The goal is to support the child's ability to eat independently, if possible.

Choice B reason: Providing large, padded utensils can help a child with cerebral palsy improve their ability to eat independently. Adaptive utensils are designed to accommodate the motor challenges that children with cerebral palsy may face, making it easier for them to grasp and use the utensils.

Choice C reason: While having the parents feed the child can be a short-term solution, it does not promote independence. The focus should be on finding ways to support the child's ability to eat on their own.

Choice D reason: Referring the patient to a nutritionist can be helpful for overall dietary management, but it does not directly address the immediate issue of the child's difficulty with using regular utensils. Adaptive utensils are a more direct solution to this problem.

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A nurse is reviewing lab results for a pregnant patient. Which lab result will the nurse immediately report to the healthcare provider?

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Naxlex Comprehensive Predictor Exams

The nurse is performing a newborn assessment on a 37-week-gestation newborn at 2 hours of life. The nurse notes a small tuft of hair on the lumbosacral area of the spine. Which neural tube defect will the nurse associate with this assessment finding?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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