Question

A nurse is reviewing the prenatal laboratory results for a client who is at 12 weeks of gestation following an initial prenatal visit. Which of the following laboratory findings should the nurse report to the provider?

a. Increased hemoglobin
b. Elevated glucose levels
c. Low iron levels
d. Positive Rubella IgG

Answer 1

The prenatal laboratory finding to report is elevated glucose levels, as this may indicate gestational diabetes, which requires management to avoid complications. Additionally, low iron levels can be common but may require treatment if too low, while a positive Rubella IgG indicates immunity.

Step-by-step explanation:

The prenatal laboratory finding that should be reported to the provider is elevated glucose levels. Elevated glucose levels in a pregnant client can indicate the presence of gestational diabetes, which can lead to complications for both the mother and the fetus if not managed properly. It is important because untreated gestational diabetes can lead to increased birth weights, preterm labor, and an increased risk for developing type 2 diabetes later in life. Therefore, close monitoring and management of blood glucose levels are crucial during pregnancy.

A positive Rubella IgG indicates immunity to Rubella, which is generally a good finding, suggesting that the client had a prior vaccination or infection and is now protected.

Low iron levels are common in pregnancy due to the increased blood volume and demand from the growing fetus. However, if iron levels are too low, it can lead to anemia, which should be addressed with supplements or dietary changes.

An increased hemoglobin level is generally not a concern unless it is significantly above the normal range, which could indicate a concentration of red blood cells or dehydration.