Which of the following from your assessment data would you bring to the attention of the MD/CNM?
a. Changes in Hbg from 12 gm to 11 gm at 28 weeks
b. Trace ketones in the urine
c. Trace protein in the urine
d. Weight gain of 5 pounds in one month
B
Ketones in the urine signals potential for gestational diabetes or ketoacidosis and should be reported. Changes in Hbg from 12 gm to 11 gm at 28 weeks would be considered a normal finding. Trace protein in the urine should be monitored, but does not necessarily indicate a problem. During the first 8 months of pregnancy, a woman with a normal BMI can gain approximately 1 pound/week, so a 5-pound weight gain in a month, or 4 weeks, would not signal a problem.
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