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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B, E, D, F, A, C
Explanation
Meiosis is the process of cell division that reduces the chromosome number by half, resulting in the formation of gametes (sperm and egg). This is the first step in the process of reproduction.
Fertilization occurs when a sperm cell unites with an egg cell to form a zygote. This marks the beginning of the formation of a new organism.
The zygote is the single-cell result of fertilization. It will undergo several mitotic divisions to form a blastocyst.
The blastocyst is a structure formed in the early development of mammals. It possesses an inner cell mass that will eventually develop into the embryo.
Nidation, or implantation, occurs when the blastocyst attaches to the uterine wall.
After implantation, the endometrium is called the decidua, which provides a nourishing environment for the developing embryo.
Correct Answer is B
Explanation
A. The high blood volume and Wharton's jelly content in the umbilical cord help protect it from compression.
B. The umbilical cord normally contains two arteries and one vein. A statement suggesting two veins is incorrect and indicates a need for additional teaching.
C. The fetal heart starts to beat around 4 weeks of gestation.
D. A Doppler can detect fetal heartbeats as early as 8-12 weeks.
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