A nurse is caring for a client who is at 16 weeks of gestation and has hyperemesis gravidarum. Which of the following clinical findings should the nurse expect?
Constipation
Ketonuria
Hypertension
Polyhydramnios
The Correct Answer is B
A. Constipation is not directly associated with hyperemesis gravidarum.
B. Ketonuria occurs due to prolonged vomiting and starvation, indicating fat breakdown for energy.
C. Hypertension is unrelated to hyperemesis gravidarum.
D. Polyhydramnios refers to excessive amniotic fluid and is not a feature of hyperemesis gravidarum.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Breastfeeding is not contraindicated in mothers with hepatitis B if the newborn receives appropriate prophylaxis.
B. Airborne precautions are not necessary; hepatitis B is transmitted through blood and body fluids, not airborne droplets.
C. Bathing the newborn does not affect hepatitis B transmission risk and does not need to be delayed.
D. Administering hepatitis B immune globulin (HBIG) IM to the newborn within 12 hours of birth, along with the first dose of the hepatitis B vaccine, is essential to prevent vertical transmission of hepatitis B virus.
Correct Answer is D
Explanation
A. Assessing cervical dilation is contraindicated due to risk of worsening bleeding with abruptio placenta.
B. Vaginal swabs for ferning test are used to assess rupture of membranes, not abruptio placenta.
C. Administering oxytocin can increase uterine contractions and worsen placental separation, so it is contraindicated.
D. Monitoring fetal heart rate tracings is essential to assess fetal well-being in cases of abruptio placenta.
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