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."

Answer and Explanation

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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Correct Answer is C

Explanation

A. A weight gain of 11 to 20 pounds is recommended for those who are overweight (BMI 25-29.9) before pregnancy, but this BMI category may still be higher than 26.5.

B. A weight gain of 25 to 35 pounds is generally recommended for women with a normal BMI (18.5-24.9) before pregnancy.

C. The recommendation for you is about 15 to 25 pounds. This is the correct guideline for women with a BMI of 26.5, which places them in the overweight category. The goal is to prevent excessive weight gain while ensuring proper fetal growth.

D. It really doesn’t matter exactly how much weight you gain, as long as your diet is healthy is incorrect. Weight gain during pregnancy should be monitored carefully, as excessive weight gain can increase the risk of complications such as gestational diabetes and hypertension.

A. Drinking extra milk during pregnancy allows breasts to produce adequate amounts of milk. B. Supplementing breastfeeding with formula allows the infant to receive adequate nutrition. C. Breast size can be increased with exercise. D. Milk is produced in ducts and lobules regardless of breast size.

Correct Answer is D

Explanation

A. Drinking extra milk during pregnancy does not directly impact milk production. The body produces milk based on demand, not by consuming additional milk.

B. While formula supplementation may be necessary in some cases, it does not directly address the mother's ability to produce sufficient milk. It is important to focus on breastfeeding techniques and frequency to support milk production.

C. Breast size is not a determining factor for successful breastfeeding. Exercises will not increase breast size or enhance milk production significantly.

D. Milk production occurs in the mammary glands, specifically in the ducts and lobules, which are not dependent on breast size. Even women with smaller breasts can produce enough milk to exclusively breastfeed, as long as the demand and milk removal are properly managed.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?

Correct Answer is C

Explanation

A mother is anxious about her ability to breastfeed after her child is born because of her small breast size. What would be an important point to teach this mother?

Correct Answer is D

Explanation

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