In assessing a client at 34 weeks gestation, the nurse notes that she has a slightly elevated total T4 with a slightly enlarged thyroid, a hematocrit of 28% (0.28 volume fraction), a heart rate of 92 beats per minute, and a systolic murmur. Which finding requires follow-up? Reference Range: Hematocrit [37% to 47% (0.37 to 0.47 volume fraction)]

A) Correct- Hematocrit values below the reference range during pregnancy could indicate anemia, which requires further evaluation and intervention. The other findings can be attributed to normal physiological changes during pregnancy (elevated total T4, heart rate increase) or can be common findings (systolic murmur). B) Incorrect - A heart rate of 92 beats per minute is within the normal range for pregnancy due to increased blood volume and hormonal changes. C) Incorrect - A systolic murmur can be a common finding during pregnancy due to increased cardiac output. D) Incorrect - An elevated total T4 can be a normal finding during pregnancy due to hormonal changes.