ATI Practical Nurse (PN) Comprehensive Exit Practice Exam

A platelet count of 95,000 mm³ is significant in this scenario as it indicates thrombocytopenia, which is a lower-than-normal level of platelets in the blood. In pregnant clients, especially during the third trimester, a normal platelet count generally ranges from 150,000 to 400,000 mm³. A count below 100,000 mm³ raises concerns for potential bleeding complications and may indicate conditions such as gestational thrombocytopenia or more severe pathologies like HELLP syndrome or disseminated intravascular coagulation (DIC).

In this context, it is crucial for the nurse to promptly notify the healthcare provider to assess the situation further and determine the appropriate interventions for the client and the fetus. Monitoring and managing the risk of bleeding or other complications associated with low platelet levels is crucial for ensuring both maternal and fetal safety.

The other laboratory results, while they may indicate some level of concern, do not typically require urgent intervention. For example, hemoglobin levels can vary within a physiological range during pregnancy, a blood glucose level of 140 mg/dL is slightly elevated but may not necessitate immediate action, and a white blood cell count of 12,000/mm³ can be normal in pregnancy due