A nurse is assisting with the planning of a presentation about the impact of hyperemesis gravidarum on client health. Which of the following statements should the nurse include?
"Psychological disorders may occur due to the impact on the client's quality of life."
"Persistent nausea and vomiting are expected during the first trimester."
"Clients who have hyperemesis gravidarum may seek care early in their pregnancy."
"Measures can be taken to prevent this disease from occurring."
The Correct Answer is A
A. Psychological disorders may occur due to the impact on the client's quality of life is correct. Hyperemesis gravidarum can have a significant psychological impact on the client, leading to mental health issues such as depression, anxiety, and stress due to the prolonged discomfort and inability to perform daily activities.
B. Persistent nausea and vomiting are expected during the first trimester is inaccurate. While mild nausea and vomiting (morning sickness) is common during the first trimester, hyperemesis gravidarum involves severe nausea and vomiting that extends beyond the normal range and can occur at any point in pregnancy.
C. Clients who have hyperemesis gravidarum may seek care early in their pregnancy is not always true. Some clients may delay seeking care, thinking it’s normal pregnancy discomfort, while others may seek help immediately due to the severity of their symptoms.
D. Measures can be taken to prevent this disease from occurring is not correct. There are no known methods to prevent hyperemesis gravidarum, although some risk factors may increase the likelihood of developing it, such as high hCG levels or carrying multiples.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Women have all of their ova at birth. Oogenesis, the process of egg development, occurs in the fetus, and women are born with all the eggs (ova) they will ever have. The number of eggs decreases over time.
B. Women make fewer ova as they age is correct in a sense, but the statement is misleading because the number of eggs actually decreases after birth, not through an ongoing process of "making fewer."
C. Ova production begins at birth and continues until puberty is incorrect. Ova are formed during fetal development, but no new eggs are produced after birth.
D. New ova are made every month from puberty to climacteric is incorrect. While ova mature and are released monthly during a woman's reproductive years, they are not newly made each month. The ovary contains a finite number of immature eggs at birth.
Correct Answer is B
Explanation
A. A decrease in saliva production may aggravate the disorder is incorrect. While excessive salivation (ptyalism) is a symptom of hyperemesis gravidarum, a decrease in saliva production is not the primary factor contributing to the disorder.
B. Decreasing gastric secretions lead to increased nausea is incorrect. While nausea and vomiting are key features of hyperemesis gravidarum, the decrease in gastric secretions does not directly cause it. The disorder is typically associated with an increase in hCG, dehydration, and electrolyte imbalances.
C. An increase in human chorionic gonadotropin (hCG) levels may contribute to this disorder is correct. Hyperemesis gravidarum is often linked to elevated levels of hCG, a hormone produced during pregnancy, which may lead to increased nausea and vomiting.
D. Symptoms begin and are most severe during the second trimester of pregnancy is incorrect. Hyperemesis gravidarum typically presents in the first trimester and may improve after that, although severe cases can last longer.
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