North American Registry of Midwives (NARM) Practice Exam

What hemoglobin level indicates anemia in a pregnant woman?

1. Less than 11.0 g per 100 mL

2. Less than 10.0 g per 100 mL

3. Less than 8.0 g per 100 mL

4. Less than 12.0 g per 100 mL

The correct answer is: Less than 10.0 g per 100 mL

Anemia in pregnancy is generally identified by specific hemoglobin thresholds. The standard guideline indicates that a hemoglobin level of less than 11.0 grams per deciliter (g/dL) is typically the cutoff for diagnosing anemia. However, the interpretation of hemoglobin levels can vary slightly, though most sources agree upon the critical threshold being around 10.0 g/dL. This level is important to recognize because it reflects both the physiological changes that occur during pregnancy, such as increased plasma volume and the need for additional iron and nutrients, as well as the potential complications that anemia can pose for maternal and fetal health. Therefore, monitoring hemoglobin levels is crucial for ensuring that pregnant women receive the necessary interventions to support their health and the development of their babies. While other values may indicate varying degrees of concern regarding anemia, the indication of less than 10.0 g/dL specifically addresses that threshold where pregnant women should receive further evaluation and possibly treatment for anemia. Understanding this threshold aids in the early identification and management of anemia, which is essential for positive pregnancy outcomes.