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.

Answer and Explanation

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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Correct Answer is D

Explanation

Choice A rationale

Multiple gestation increases pregnancy risks but is not directly linked to cervical insufficiency, which involves premature cervical dilation leading to preterm birth or loss without uterine contractions.

Choice B rationale

Advanced maternal age presents various pregnancy risks, including chromosomal abnormalities and hypertension, but is not a primary risk factor for cervical insufficiency, which involves cervical structural issues.

Choice C rationale

A history of preterm labor involves previous early deliveries but does not specifically indicate cervical insufficiency, which is characterized by painless cervical dilation and effacement in the second trimester.

Choice D rationale

Cervical surgery, such as conization or LEEP, can weaken the cervical structure, increasing the risk of cervical insufficiency by reducing the cervix’s ability to remain closed during pregnancy.

A. Explain that the newborn is no longer in pain to facilitate grieving. B. Share the nurse’s own experiences and feelings to facilitate grieving. C. Avoid calling the newborn by their name to facilitate grieving. D. Allow the client to hold or be with their newborn to facilitate grief.

Correct Answer is D

Explanation

Choice A rationale

Explaining that the newborn is no longer in pain may not facilitate grieving, as it does not acknowledge the emotional connection and grief the parents are experiencing.

Choice B rationale

Sharing the nurse's own experiences and feelings may shift the focus away from the client's emotions, potentially hindering their grieving process.

Choice C rationale

Avoiding calling the newborn by their name can create a sense of detachment and may prevent the client from fully processing their grief.

Choice D rationale

Allowing the client to hold or be with their newborn provides a tangible connection, facilitating the grieving process and helping them come to terms with their loss.

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A nurse is planning 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

Which of the following is a risk factor for cervical insufficiency?

Correct Answer is D

Explanation

A nurse is caring for a client who is grieving the loss of their newborn. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is D

Explanation

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