A nurse is reviewing the laboratory report of a client who is at 6 weeks of gestation. Which of the following laboratory results should the nurse report to the provider?

WBC count 10,000/mm3 (5.000 to 10,000/mm3

Fasting blood glucose 80 mg/dL (74 to 106 mg/dL)

Hematocrit 30% (37% to 47%)

RBC count 6 million/mm (4.2 to 6.1 million/mm)

Answer and Explanation

The Correct Answer is C

Rationale:

A. WBC count 10,000/mm³ (5,000 to 10,000/mm³): This value is at the upper limit of normal. Mild elevations can occur during early pregnancy due to physiological changes and do not typically require immediate reporting unless accompanied by signs of infection.

B. Fasting blood glucose 80 mg/dL (74 to 106 mg/dL): This value falls within the normal fasting glucose range for adults and is not concerning during early pregnancy. No intervention or reporting is necessary for this result.

C. Hematocrit 30% (37% to 47%): This value is below the normal range, indicating anemia. Early pregnancy anemia can increase the risk of maternal fatigue, preterm birth, and low birth weight. The nurse should report this finding to the provider for further evaluation and possible iron supplementation.

D. RBC count 6 million/mm³ (4.2 to 6.1 million/mm³): This value is within the normal range for red blood cells. It does not indicate any immediate concern and does not require reporting to the provider.

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Correct Answer is A

Explanation

Rationale:

A. Sit at or below the client's eye level during feedings: Positioning the nurse at or slightly below the client’s eye level promotes effective communication and allows close observation of swallowing. It helps the nurse monitor for signs of aspiration, coughing, or choking, which is critical in clients with dysphagia to ensure safety during meals.

B. Instruct the client to lift her chin when swallowing: Clients with dysphagia should be taught to tuck the chin slightly toward the chest, not lift it, to protect the airway and facilitate safer swallowing. Lifting the chin increases the risk of aspiration and airway compromise.

C. Talk with the client during her feeding: Talking while swallowing increases the risk of aspiration because it distracts the client and can disrupt coordinated swallowing. Silence and focused attention are recommended during feeding to ensure safe intake of food and liquids.

D. Discourage the client from coughing during feedings: Coughing is a protective reflex that clears the airway if food or liquid enters the trachea. Discouraging it could increase the risk of aspiration and choking, making it unsafe to suppress this natural defense mechanism.

A. Anemia B. Prematurity C. Maternal diabetes D. Thrombocytopenia E. Hypothermia

Correct Answer is ["B","C","E"]

Explanation

Rationale:

A. Anemia: While anemia affects oxygen delivery and overall health, it is not a direct risk factor for neonatal hypoglycemia. Anemia does not significantly impact the infant’s glucose regulation immediately after birth.

B. Prematurity: Premature infants have limited glycogen stores, immature liver function, and underdeveloped metabolic pathways, making them more prone to hypoglycemia. Their ability to maintain normal blood glucose levels is compromised, increasing the risk of low glucose after birth.

C. Maternal diabetes: Infants born to mothers with diabetes are exposed to high glucose levels in utero, which stimulates fetal insulin production. After birth, this hyperinsulinemia can lead to rapid drops in blood glucose, placing the newborn at high risk for hypoglycemia.

D. Thrombocytopenia: Low platelet count affects coagulation but does not directly influence glucose metabolism or the risk of hypoglycemia in newborns. While it is a clinical concern, it is unrelated to neonatal glucose regulation.

E. Hypothermia: Cold stress increases metabolic demands and glucose utilization in newborns. Hypothermia can accelerate depletion of glycogen stores and impair gluconeogenesis, making it a significant risk factor for hypoglycemia in the neonatal period.

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Body System	Findings
Neurological	Reports that dizziness and palpitations started 2 months ago. Alert and oriented to person, place, and time
Cardiovascular	Pedal pulses +1 bilaterally, Pedal edema +1 bilaterally. Capillary refill time 5 seconds for all extremities. Reports no pain with palpation of thorax.
Respiratory	Fatigue and dyspnea with exertion started 1 week ago. Lungs clear to auscultation bilaterally
Vital Signs	Heart rate 105/min Respiratory rate 20/min Blood pressure 164/92 mm Hg Oxygen saturation 96% on room air

A nurse is reviewing the laboratory report of a client who is at 6 weeks of gestation. Which of the following laboratory results should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

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Correct Answer is ["B","C","E"]

Explanation

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