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    ATI Capstone Maternal Newborn Proctored Exam

    A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsia.Which of the following laboratory results should the nurse expect?

    Explanation & Rationale

    Choice A rationaleA BUN level of 30 mg/dL is above the normal range of 10 to 20 mg/dL. Elevated BUN is consistent with renal involvement in preeclampsia, which is caused by vascular constriction and reduced renal perfusion.Choice B rationaleA hemoglobin level of 9.9 g/dL is below the normal gestational range of 11 to 16 g/dL. While anemia might occur, it is not a hallmark feature of preeclampsia itself.Choice C rationaleA serum uric acid level of 2.5 mg/dL is below the normal range of 2.7 to 7.3 mg/dL. Elevated uric acid is more typical in preeclampsia due to impaired renal function.Choice D rationaleA casual blood glucose level of 228 mg/dL exceeds the normal range of less than 200 mg/dL. Hyperglycemia is not directly linked to preeclampsia, suggesting an independent metabolic disturbance.

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