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A nurse is answering Questions about labor and delivery to a client.The client is concerned that she will need a blood transfusion due to all the blood loss during the delivery.The nurse explains that blood volume increases during pregnancy that will offset the loss.Which of the following is the correct percentage of increased blood volume during pregnancy that the nurse should explain to the client?

A.

25%-35%.

B.

10%-20%.

C.

60%-70%.

D.

40%-50%.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

A 25%-35% increase in blood volume is lower than the actual increase observed during pregnancy. This choice is incorrect.

 

Choice B rationale

 

A 10%-20% increase in blood volume is significantly lower than the actual increase observed during pregnancy. This choice is incorrect.

 

Choice C rationale

 

A 60%-70% increase in blood volume is higher than the actual increase observed during pregnancy. This choice is incorrect.

 

Choice D rationale

 

The correct percentage of increased blood volume during pregnancy is 40%-50%. This increase helps accommodate the growing fetus and placenta, and prepares the body for the blood loss that occurs during delivery.


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

Having a child with blue eyes is not an indication for genetic testing. Eye color is a polygenic trait and does not typically warrant genetic testing.

Choice B rationale

Reactive airway disease in preterm children is not a direct indication for genetic testing. This condition is more related to the complications of prematurity rather than genetic factors.

Choice C rationale

Neonatal jaundice is common and usually resolves without long-term issues. It is not typically an indication for genetic testing unless there is a suspicion of an underlying genetic disorder.

Choice D rationale

Tay-Sachs Disease is a genetic disorder, and having a child with this condition is a strong indication for genetic testing. This would help determine the risk of recurrence in future pregnancies and provide valuable information for family planning. .

Correct Answer is B

Explanation

Choice A rationale

Oligohydramnios refers to a condition where there is too little amniotic fluid. An amniotic fluid volume of 1900 mL is above the normal range, indicating that oligohydramnios is not present.

Choice B rationale

Polyhydramnios is the condition of having too much amniotic fluid. The normal range for amniotic fluid volume at 34 weeks gestation is between 800 and 1000 mL. An estimated volume of 1900 mL indicates polyhydramnios, which can be associated with various maternal and fetal conditions.

Choice C rationale

A follow-up glucose test is not directly indicated by the finding of polyhydramnios. While polyhydramnios can be associated with gestational diabetes, the decision to perform a glucose test would depend on other clinical factors and the patient’s history.

Choice D rationale

An amniotic fluid volume of 1900 mL is above the normal range for 34 weeks gestation, so it is not considered normal for gestational age. This finding indicates polyhydramnios rather than a normal fluid level.

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