RN Nursing · Pathophysiology · Practice question
Normochromic RBCs are best described as:
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Excess hemoglobin
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Pale
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Larger than normal
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✓
Normal hemoglobin and red color
Answer & explanation
Correct: Normal hemoglobin and red color
Normochromic red blood cells are cells that contain a normal amount of hemoglobin, which gives them their characteristic normal red color. The prefix 'normo-' means normal, and '-chromic' refers to color or pigmentation — in this context, the hemoglobin content. When viewed under a microscope, normochromic RBCs display the standard pale center surrounded by a ring of red color, indicating adequate hemoglobin concentration. This is the baseline against which abnormal RBC morphology is compared. The option describing excess hemoglobin would more accurately describe hyperchromic cells, though true hyperchromia is rarely seen clinically. Pale red blood cells are called hypochromic, meaning they contain less hemoglobin than normal — this is typically seen in iron-deficiency anemia. Larger-than-normal RBCs are described as macrocytic, which relates to cell size rather than hemoglobin content; macrocytosis is seen in vitamin B12 or folate deficiency. Understanding these descriptive terms is essential for interpreting a complete blood count with differential and recognizing different types of anemia. Normochromic cells indicate that hemoglobin synthesis is proceeding normally, while deviations in chromicity point to underlying nutritional deficiencies, chronic disease, or other pathological processes affecting erythropoiesis.
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