Answer :
Final answer:
Necessary nursing assessment for a client with sickle cell anemia in a high-risk obstetrical clinic includes monitoring for evidence of pyelonephritis, signs of hypothyroidism, and symptoms of hypoglycemia.
Explanation:
Nursing assessment for a client with sickle cell anemia in a high-risk obstetrical clinic should include monitoring for evidence of pyelonephritis due to the increased susceptibility to infections in these patients. Additionally, signs of hypothyroidism should be assessed as thyroid dysfunction is common in sickle cell disease. Lastly, assessing for symptoms of hypoglycemia is crucial as fluctuations in blood sugar levels can impact the health of the mother and fetus.
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