In caring for a pregnant woman with sickle cell anemia the nurse is aware that signs and symptoms of sickle cell crisis include
a. Anemia
b. Endometritis
c. Fever and pain
d. Urinary tract infection
C
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A Women with sickle cell anemia are not iron deficient. Therefore routine iron
supplementation, even that found in prenatal vitamins should be avoided in order
to prevent iron overload.
B Women with sickle cell trait usually are at greater risk for postpartum
endometritis (uterine wall infection); however, this is not likely to occur in
pregnancy and is not a sign of crisis.
C Women with sickle cell anemia have recurrent attacks (crisis) of fever and pain,
most often in the abdomen, joints and extremities. These attacks are attributed to
vascular occlusion when RBCs assume the characteristic sickled shape. Crises
are usually triggered by dehydration, hypoxia or acidosis.
D These women are at an increased risk for UTIs; however, this is not an indication
of sickle cell crisis.
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