Intrapartum Management
Intrapartum Management ( 5 Questions)
A nurse is reviewing the laboratory results of a client with pre-eclampsia who is scheduled for induction of labor.
Which of the following findings indicates a risk for disseminated intravascular coagulation (DIC)?
Platelet count of 150,000/mm3 is within the normal range for adults, which is between 150,000 and 450,000 platelets/mcL. Platelet count may decrease in DIC due to excessive clotting and consumption of platelets.
Fibrinogen level of 300 mg/dL is within the normal range for adults, which is between 200 and 400 mg/dL.
Fibrinogen is a protein that helps blood clotting. Fibrinogen level may increase in DIC due to inflammation and tissue injury.
Prothrombin time of 15 seconds is within the normal range for adults, which is between 11 and 13.5 seconds.
Prothrombin time measures how long it takes for blood to clot. Prothrombin time may increase in DIC due to depletion of clotting factors.
D-dimer is a protein fragment that is produced when a blood clot dissolves. A high level of D-dimer indicates a risk for disseminated intravascular coagulation (DIC), a condition in which blood clots form throughout the body and block blood flow to vital organs.
D-dimer level of 0.8 mcg/mL.
D-dimer is a protein fragment that is produced when a blood clot dissolves. A high level of D-dimer indicates a risk for disseminated intravascular coagulation (DIC), a condition in which blood clots form throughout the body and block blood flow to vital organs.
Choice A is wrong because platelet count of 150,000/mm3 is within the normal range for adults, which is between 150,000 and 450,000 platelets/mcL. Platelet count may decrease in DIC due to excessive clotting and consumption of platelets.
Choice B is wrong because fibrinogen level of 300 mg/dL is within the normal range for adults, which is between 200 and 400 mg/dL.
Fibrinogen is a protein that helps blood clotting. Fibrinogen level may increase in DIC due to inflammation and tissue injury.
Choice C is wrong because prothrombin time of 15 seconds is within the normal range for adults, which is between 11 and 13.5 seconds.
Prothrombin time measures how long it takes for blood to clot. Prothrombin time may increase in DIC due to depletion of clotting factors.