CNM Certified Nurse Midwife

Category - Intrapartum

A nurse midwife is reviewing the laboratory tests of a client who is in labor. The laboratory findings include a hemoglobin level of 10 g/dL and a hematocrit concentration of 34%. The nurse midwife is correct if she determines that the client is at risk for which of the following during the postpartum period?
  1. Anemia
  2. Increased cardiac output
  3. Postpartum infection
  4. Hemorrhage
Explanation
Answer: C - The client is at risk for postpartum infection. Research reveals that clients in labor who have anemia, which is demonstrated by low hemoglobin and hematocrit levels, have increased risk for postpartum infection, cardiac decompensation and poor wound healing. Decreased hemoglobin or hematocrit does not increase a client’s risk of hemorrhage.
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