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."

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Lethargy and poor muscle tone are common in infants of diabetic mothers due to the risk of hypoglycemia.

B. Early feeding is crucial to help regulate blood glucose levels and prevent hypoglycemia.

C. While newborns of diabetic mothers may be at risk for jaundice, assessing bilirubin levels at birth is not typically prioritized in the immediate care plan unless clinical signs of jaundice are present.

D. Fractures, especially clavicle fractures, are common in infants of large gestational age (LGA), so assessing for birth injuries is a priority.

A. To identify abnormal fetal cells. B. To detect metabolic disorders. C. To determine fetal lung maturity. D. To identify the sex of the fetus.

Correct Answer is C

Explanation

A. To identify abnormal fetal cells: This is typically the purpose of amniocentesis earlier in pregnancy to check for genetic disorders, not at 34 weeks.

B. To detect metabolic disorders: Metabolic disorders are usually identified through newborn screening after birth rather than through late pregnancy amniocentesis.

C. To determine fetal lung maturity: At 34 weeks gestation, determining fetal lung maturity is critical, especially in cases of preeclampsia, as early delivery might be necessary.

D. To identify the sex of the fetus: The sex of the fetus is usually determined earlier in pregnancy if necessary, not at 34 weeks, and it is not the primary purpose in this context.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are caring for an infant of a diabetic mother. Which of the following actions would not be included in your plan of care related to this diagnosis

Correct Answer is C

Explanation

A patient is being prepared for an amniocentesis. The patient is a G2P1 and is 34 weeks gestation suffering from pre eclampsia. The patient asks what the purpose of this amniocentesis is. The best response from the nurse would be:

Correct Answer is C

Explanation

A patient is being taught about tests for gestational diabetes. Teaching was effective when the patient states the following

You are caring for a patient who is having an epidural placed for pain during labor. Which medication should be kept in the room for easy access in case the patient has hypotension?

A woman is RH neg and pregnant. Her previous baby was Rh positive. The nurse would be correct in telling her which of the following information?

A woman who is 37 weeks gestation is diagnosed with pre-eclampsia. She asks the nurse why she is getting Magnesium Sulfate. What is the best response?

Amniotic fluid is important for maintaining fetal wellbeing. The nurse knows teaching needs to be reinforced when the nurse hears a woman making which statement to her husband?

A man calls the nurses’ station stating that his wife, who delivered four days ago, is happy one minute and crying the next. The man says, "She was never like this before the baby was born. What would be the best response by the nurse?

The nursery nurse is assessing a newborn that was just admitted to the nursery. The nursery nurse notices a cephalohematoma upon assessment of the head. The nurse knows that this infant is at risk for which condition?

A patient with pregnancy-induced hypertension is admitted complaining of pounding headache and epigastric pain. Nursing care is based on the knowledge that these signs indicate: