Which finding is most concerning for a patient at 14 weeks gestation?

The most concerning finding for a patient at 14 weeks gestation is a hematocrit level of 29%. During pregnancy, a woman's body undergoes significant changes to accommodate the developing fetus, including an increase in blood volume. However, the increase in plasma volume can dilute red blood cells leading to a lower hematocrit level, which is often expected. Normal hematocrit values for pregnant women typically range from 32% to 42%, and a hematocrit of 29% indicates potential anemia. Anemia during pregnancy can lead to complications such as fatigue, dizziness, and in severe cases, increased risks of preterm birth or adverse neonatal outcomes.

While the other findings may warrant monitoring, they are not as immediately concerning. A body mass index of 23 falls within the normal range, suggesting that the patient's weight status is appropriate. A blood pressure of 100/60, although lower than the norm, can be quite common in pregnancy and may not pose a significant risk unless accompanied by other symptoms. A pulse rate of 76 bpm is within the normal range for adults and indicates stable cardiovascular function. However, a hematocrit level of 29% is a clear indicator that requires further assessment and potential intervention to address the