A nurse is planning a presentation about the impact of hyperemesis gravidarum on client health. Which of the following statements should the nurse include?
Persistent nausea and vomiting are expected during the first trimester.
Measures can be taken to prevent this disease from occurring.
Psychological disorders may occur due to the impact on the client’s quality of life.
Hyperemesis gravidarum requires hospitalization for rehydration.
The Correct Answer is D
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Waiting for the next contraction is inappropriate in shoulder dystocia, where immediate action is required to prevent fetal hypoxia. Delaying intervention can lead to serious complications for the newborn.
Choice B rationale
The McRoberts maneuver, involving hyperflexion of the mother's legs, widens the pelvis, facilitating shoulder delivery in cases of shoulder dystocia. This technique reduces shoulder impaction effectively.
Choice C rationale
Applying fundal pressure is contraindicated in shoulder dystocia as it may worsen the impaction by compressing the fetal shoulders against the maternal pelvis, increasing the risk of injury.
Choice D rationale
Vacuum extraction is not recommended for shoulder dystocia management. This obstetric emergency requires specific maneuvers, like the McRoberts maneuver, to relieve the impacted shoulder.
Correct Answer is B
Explanation
Choice A rationale
Chronic hypertension increases the risk of complications but is not necessarily the highest risk compared to elevated blood pressure and obesity combined in pregnancy.
Choice B rationale
Elevated blood pressure and a high BMI significantly increase the risk for complications like preeclampsia, gestational diabetes, and preterm birth in pregnancy.
Choice C rationale
A 16-year-old pregnant client is at risk due to age, but not as high as the compounded risks of hypertension and obesity.
Choice D rationale
A history of fetal demise increases risk, but current elevated blood pressure and high BMI in an older client present higher immediate pregnancy complication risks.
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