Health Promotion and Maintenance
67. A nurse assesses a client who is 15 years old, gravida 1, para 0, and is 11 weeks' gestation. Which prenatal laboratory test would indicate a risk factor for this client?
Health Promotion and Maintenance
67. A nurse assesses a client who is 15 years old, gravida 1, para 0, and is 11 weeks' gestation. Which prenatal laboratory test would indicate a risk factor for this client?
. White blood cell count = 12,000.
. Hematocrit = 32%.
. Hemoglobin = 9 gm/dL.
. Random serum glucose = 105 gm/dL.
Test-Taking Tip
Knowing common laboratory values will help to eliminate the three options that are normal, and therefore not risk factors (Answers 1, 2, and 4).
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Laboratory Values
Health Promotion and Maintenance
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Answer 1 is incorrect because white blood cell counts indicate the presence or absence of infection. The normal range for WBCs in pregnancy is 9000 to 15,000. There is no evidence of infection. Answer 2 is incorrect because the normal hematocrit in pregnancy ranges from 32% to 45%. Answer 3 is correct because the normal hemoglobin in pregnancy ranges from 11 to 12 gm/dL. This client is a teenager who is pregnant and is anemic. Answer 4 is incorrect because the normal serum glucose in pregnancy ranges from 65 to 110 gm/dL.