A nurse is caring for a client at 28 weeks of gestation who has a blood pressure reading of 162/108 mm Hg, and 4 hours previously it was 148/98 mm Hg. Which of the following orders should the nurse anticipate receiving? (Select all that apply))

Choice A rationale

Erythema toxicum is a benign rash that does not cause localized swelling or cross suture lines on the newborn's head.

Choice B rationale

Cephalhematomas are subperiosteal hemorrhages that do not cross suture lines, and they do not cause generalized swelling.

Choice C rationale

Caput succedaneum is edema of the newborn's scalp that crosses suture lines, commonly resulting from vacuum-assisted delivery.

Choice D rationale

Mongolian spots are pigmented birthmarks found on the skin, not associated with swelling or crossing suture lines.

Choice A rationale

Persistent nausea and vomiting are common during the first trimester, but not to the extent seen in hyperemesis gravidarum, which involves severe and prolonged symptoms leading to dehydration and weight loss.

Choice B rationale

Hyperemesis gravidarum's exact cause is unknown, making it difficult to prevent. Risk factors include multiple pregnancies and a history of the condition, but no definitive prevention measures are established.

Choice C rationale

The chronic nausea, vomiting, and resultant physical debilitation of hyperemesis gravidarum significantly impact the quality of life, leading to anxiety and depression due to the persistent nature of the symptoms.

Choice D rationale

Hospitalization for rehydration and electrolyte balance restoration is often necessary for hyperemesis gravidarum due to severe dehydration from persistent vomiting and inability to retain fluids and nutrients.