A client at 33 weeks gestation has a complete blood cell count drawn. When the client hears that her hemoglobin level was higher before her pregnancy, she asks if this will increase the risk to her unborn baby

What information should be provided to the client? 1. If the client increases the number of prenatal vitamins taken, the risk to the fetus will be eliminated.
2. The fetus is at an increased risk of prematurity.
3. Dietary management will eliminate the risk to the fetus.
4. The fetus will likely suffer from anemia as well.


2
Rationale 1: Changes in prenatal vitamin intake and dietary modification may improve the condition and reduce risk, but this will not totally eliminate the associated risk factors.
Rationale 2: The risk to the fetus as a result of the maternal anemia includes prematurity, low birth weight, and perinatal mortality.
Rationale 3: Changes in prenatal vitamin intake and dietary modification may improve the condition and reduce risk, but this will not totally eliminate the associated risk factors.
Rationale 4: There is no evidence the fetus will experience anemia as a result of the maternal anemia.

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