A nurse is caring for a client during a routine prenatal visit. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Explanation & Rationale
Potential Condition: Iron deficiency anemia The client’s hemoglobin (10 g/dL), hematocrit (31%), and serum ferritin (9 mcg/L) are all below normal for pregnancy, indicating iron deficiency anemia, which is common during pregnancy. Actions to Take: Administer ferrous sulfate Ferrous sulfate replenishes iron stores and increases hemoglobin production to address anemia, particularly with low serum ferritin and Hgb levels in pregnancy. Teach client about manifestations of preterm labor Iron deficiency anemia increases the risk of preterm labor; educating the client helps in early recognition and timely reporting of warning signs like back pain or cramping. Parameters to Monitor: Serum ferritin level Serum ferritin is a direct measure of iron stores; monitoring it helps assess response to iron therapy and guides continued supplementation. Frequency of uterine contractions Anemia increases uteroplacental insufficiency and preterm labor risk, so monitoring contractions helps detect early labor signs in a high-risk pregnancy.