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B.

Laboratory and Diagnostic Procedure

Hematology
Test

Results

Units

107

Normal
Values
120-180

g/L

Interpretatio
n
Below Normal

Hemoglobin

Hematocrit

0.345

0.370-0.510

g/L

Below Normal

WBC Count

16.8

3.98-10

10^9g/L

Abnormally
High

RBC Count
Lymphocyte
Platelet

4.96
3.0
322

4.20-6.30
0.6-4.1
140-440

T/L
%
g/L

Normal
Normal
Normal

Analysis
Because of
the increase
in plasma
volume
during
pregnancy
Because of
their
increases
plasma
volume
Due to
presence of
infection

Urinalysis
Test
Physical
Color

Result

Normal Value

Interpretation

Analysis

Yellow

Light YellowAmber

abnormal

Transparency

Cloudy

Clear

Abnormal

Often
associated with
bile pigments
chiefly
retention of
bilirubin
Suggestive of
pyuria and
slight
hematuria

Specific
Gravity

1.015

1.015-1.030

Normal

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Reaction
Protein

6.0
Positive

pH-4.8-7.7
Negative

Normal
Abnormal

Sugar
Microscopic
RBC

Negative

negative

normal

1-3/hpf

0-2/hpf

Above normal

WBC

15-20/hpf

0-5/hpf

Above normal

Epit. Cells

Many

Moderate

Abnormal

Mucus Thread

Moderate

Few present

Abnormal

Bacteria
Crystals

Moderate
Few

Abnormal
Normal

Cost

none

Few present
a. UratesFew
none

Indicate of
kidney
dysfunction
Slight increase
is suggestive
of bleeding but
assumption is
to be renal
origin
Conclusive of
renal disease
Seen in cases
of acute
tubular
necrosis
Suggestive to
advanced renal
diseases
UTI is present

normal

CLINICAL CHEMISTRY
Laboratory Test
BUN
(Blood Urea
Nitrogen)
Creatinine
Alp
SGOT (AST)
SGPT (ALT)

Laboratory
Results
3.7

Normal Value
2.5- 5.1mmol/L

Interpretatio
n of Result
Normal

69umol/L
--48 HIGH

53-115 umol/L
35-125 u/L
1537 u/L

Normal
Normal
Abnormal

37

30-65 u/L

Normal

Remarks

Transaminase levels are


elevated from
hepatocellular injury

ULTRASOUNDS
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LMP- January 15, 2015


OAG- 23 weeks and 1 day
EDC- October 27, 2015
No. of Fetuses: One
Presentation: Cephalic
FHB: 120bpm
Amniotic Fluid Index: 13.5cm
Placenta
Location: Postero-fundal

Grade: II

Distance from Internal OS

Impression:

Pregnancy Uterine, 29 weeks and 5 days by fetal biometry, singleton, cephalic

presentation, live
Postero-fundal placenta, grade II
Adequate Amniotic Fluid
Estimated Fetal Weight of 1651.22 grams

Nursing Responsibilities:

Explain the purpose of the test and the procedure for blood collection.

Inform the client of the time period before the results will be available

Use the correct procedure for obtaining

Aseptic technique should be used in collection to prevent contamination that can

cause inaccurate result

Ensure the labeling, storage transportation of the specimen to avoid invalid test

result

Report results to the appropriate health team members.


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Compare the previous and current test results and modifies nursing intervention

as needed.

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