A nurse is caring for a client who has been diagnosed with hyperemesis gravidarum.
Which of the following conditions are risk factors for hyperemesis gravidarum?

Oligohydramnios.

Twin gestations.

Anemia.

Molar pregnancy.

History of hyperemesis.

Answer and Explanation

Correct Answer : B,D,E

Choice A rationale

Oligohydramnios refers to a condition characterized by a deficiency in amniotic fluid. It is not a common risk factor for hyperemesis gravidarum, which is more related to hormonal changes and genetic predisposition.

Choice B rationale

Twin gestations significantly increase the levels of human chorionic gonadotropin (hCG), leading to a higher incidence of hyperemesis gravidarum. Elevated hCG levels correlate directly with the severity of nausea and vomiting in pregnancy.

Choice C rationale

Anemia does not have a direct causal relationship with hyperemesis gravidarum. Hyperemesis may contribute to the development of anemia due to nutritional deficiencies, but it is not a predisposing risk factor.

Choice D rationale

Molar pregnancy, a gestational trophoblastic disease, causes significantly elevated levels of hCG, leading to an increased likelihood of hyperemesis gravidarum. This condition triggers extreme nausea and vomiting due to excessively high hormone levels.

Choice E rationale

A history of hyperemesis in previous pregnancies strongly predicts recurrence in subsequent pregnancies. This suggests a genetic or environmental predisposition to severe nausea and vomiting.

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Correct Answer is ["50"]

Explanation

Step 1: Calculate the concentration of magnesium sulfate. 20g ÷ 500mL = 0.04g/mL.

Step 2: Determine the required dose in grams per hour. 2g ÷ 1h = 2g/h

Step 3: Calculate the volume to be infused per hour. 2g ÷ 0.04g/mL = 50mL/h

Answer: 50mL/h

A. A. The provider will prescribe insulin to treat gestational diabetes. B. Please increase your carbohydrate intake for the rest of your pregnancy. C. No changes are needed for your plan of care. D. We will schedule you for a 3-hour Glucose Tolerance Test.

Correct Answer is D

Explanation

Choice A rationale

Prescribing insulin is premature based on a single elevated glucose test without further diagnostic confirmation through a 3-hour Glucose Tolerance Test.

Choice B rationale

Increasing carbohydrate intake is not recommended for managing elevated glucose levels in gestational diabetes.

Choice C rationale

No changes are recommended only if the GTT results are within the expected range. Further testing is required due to the elevated result.

Choice D rationale

A 3-hour Glucose Tolerance Test is needed to confirm gestational diabetes following an elevated 1-hour test result to ensure accurate diagnosis and appropriate management.

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A nurse is caring for a client who has been diagnosed with hyperemesis gravidarum.Which of the following conditions are risk factors for hyperemesis gravidarum?

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Naxlex Comprehensive Predictor Exams

A laboring client with preeclampsia is prescribed magnesium sulfate 2g/h IVPB. The pharmacy sent the IV to the unit labeled magnesium sulfate 20g/500mL normal saline. To administer the correct dose, the nurse should set the pump to deliver how many milliliters per hour?

Correct Answer is ["50"]

Explanation

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Correct Answer is D

Explanation

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A nurse is caring for a client who has been diagnosed with hyperemesis gravidarum.
Which of the following conditions are risk factors for hyperemesis gravidarum?