Two days after an uncomplicated vaginal birth, the nurse notes that the patient's hemoglobin is 13 mg/dL and the hematocrit is 48%. What does the nurse conclude about these values?
A.
Patient is dehydrated
B.
Needs further assessment
C.
Normal for this situation
D.
Serious anemia
ANS: C
After a vaginal birth, the hemoglobin can drop about 1 gram, or 2 grams following a cesarean birth (normal for women is 12.1-15.1 mg/dL). Due to diuresis, hemoconcentration can occur, resulting in a rise in the hematocrit (normal in women is 36.1-44.3%). Therefore, these findings are normal after an uncomplicated vaginal birth.
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