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. Deepening pigmentation B. Abdominal enlargement C. Ballottement D. Positive pregnancy test result

Correct Answer is A

Explanation

A. Deepening pigmentation, such as changes in the skin like melasma or linea nigra, is considered a presumptive sign of pregnancy, as it is subjective and not specific to pregnancy alone.

B. Abdominal enlargement is a probable sign of pregnancy as it is more objective and can be caused by the growing uterus. However, it may also occur due to other conditions, such as tumors or fluid accumulation.

C. Ballottement, a sensation felt when the fetus rebounds after being pushed gently, is a probable sign of pregnancy due to its reliance on the presence of a fetus.

D. A positive pregnancy test result is a probable sign because it detects hCG levels, which are strongly associated with pregnancy but may also be elevated in other conditions.

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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?

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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

The following are probable signs of pregnancy, except?

Correct Answer is A

Explanation

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