Question

A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client's need for: A. Supplemental oxygen B. Fluid restriction C. Blood transfusion D. Delivery by Caesarean section

Short answer

Answer: A. Supplemental oxygen.

Step-by-step solution

Understand Sickle Cell Anemia

Sickle cell anemia is a genetic blood disorder that affects the shape of red blood cells. Instead of being round and flexible, the red blood cells in people with sickle cell anemia are rigid, sticky, and crescent-shaped. This can cause complications during pregnancy, including increased risk of pain episodes, infections, and blood clots.

Analyze the Options

Now, we need to analyze each of the given options: A. Supplemental oxygen: During labor, there is increased demand for oxygen due to the labor process and to support the growing fetus. B. Fluid restriction: Fluid balance is important during labor, but there is no specific reason to restrict fluids for sickle cell patients. C. Blood transfusion: This would be needed if the pregnant client has severe anemia or complications due to sickle cell anemia. D. Delivery by Caesarean section: This may be necessary if there are complications during labor, but it is not necessarily needed just because of sickle cell anemia.

Evaluate the Best Option

Considering the nature of sickle cell anemia and its implications during pregnancy, the most appropriate option for the client is: A. Supplemental oxygen: This will help ensure that both the client and the fetus have enough oxygen during the labor process, which is important given the potential complications due to sickle cell anemia.

Final Answer

The nurse should anticipate the client's need for: A. Supplemental oxygen.