A patient had a vaginal birth 4 hours ago. Her hematocrit of 35% on admission for labor. Her current hematocrit is 25% which of the following statements by the nurse might best explain that
“Because you're not eating enough iron-rich foods like meat."
"Because you are hemoconcentrated the hematocrit dropped after delivery."
"Because your blood volume has doubled, your hematocrit is lower."
"This change in hematocrit indicates a postpartum hemorrhage."
The Correct Answer is C
A. A decrease in hematocrit after delivery is more likely due to physiological changes rather than dietary factors alone, though iron intake is important for overall recovery.
B. Hemoconcentration refers to an increase in hematocrit due to a decrease in plasma volume, but this is not the reason for a decreased hematocrit postpartum.
C. During pregnancy, blood volume increases to support both the mother and fetus. After delivery, plasma volume returns to pre-pregnancy levels, which can cause a relative decrease in hematocrit.
D. A significant drop in hematocrit could indicate postpartum hemorrhage, but a slight drop can be expected as part of normal post-delivery physiology.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. 3 lbs per week is too high for someone with a BMI of 16 and could lead to excessive weight gain.
B. 35-40 lbs is too broad and may not be suitable for this patient's low BMI, which typically requires a more controlled approach.
C. For a patient with a BMI of 16 (underweight), the recommended weight gain during pregnancy is generally between 28-40 pounds, but given the patient's lower weight, 15-20 lbs is a realistic goal for weight gain, allowing for healthy fetal development.
D. Less than 1lb per week could be too slow, potentially leading to insufficient fetal growth.
Correct Answer is ["65 to 70"]
Explanation
The interval between the vertical lines represents 1 minute (60 seconds). Therefore, one small square equals to 10 seconds (60/6). The uterine contractions range between 6.5 to 7 small boxes which equals 65 to 70 seconds.
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