Author Question: A client at 16 weeks' gestation has a hematocrit of 35. Her prepregnancy hematocrit was 40. Which ... (Read 29 times)

CBme · **on:** Jun 27, 2018

A client at 16 weeks' gestation has a hematocrit of 35. Her prepregnancy hematocrit was 40. Which statement by the nurse best explains this change?

1. Because of your pregnancy, you're not making enough red blood cells.
2. Because your blood volume has increased, your hematocrit count is lower.
3. This change could indicate a serious problem that might harm your baby.
4. You're not eating enough iron-rich foods like meat.

Question 2

While a child is being admitting to the hospital, the parent receives information about the pediatric unit's goals, including the statement that the unit practices family-centered care. The parent asks why that is important.

The nurse responds that what communication dynamic is characteristic of the family-centered care paradigm? 1. The mother is the principal caregiver in each family.
2. The child's physician is the key person in ensuring the health of a child is maintained.
3. The family serves as the constant influence and continuing support in the child's life.
4. The father is the leader in each home; thus, all communications should include him.

nhea · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Explanation: 2. Hemoglobin and hematocrit levels drop in early to mid-pregnancy as a result of pregnancy-associated hemodilution. Because the plasma volume increase (50) is greater than the erythrocyte increase (25), the hematocrit decreases slightly.

Answer to Question 2

3
Explanation: 3. Family-centered care is characterized by an emphasis on the family and family involvement throughout the pregnancy, birth, and postpartum period.