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 C
Explanation
Choice A rationale
This client's vital signs are within normal ranges for 32 weeks of gestation. A category I fetal heart tracing indicates normality, suggesting no immediate need for an emergent cesarean section.
Choice B rationale
A fetal demise at 39 weeks of gestation does not necessitate an emergent cesarean section, as the fetus is no longer viable, and other delivery methods can be considered based on the mother's condition.
Choice C rationale
Hemorrhaging at 38 weeks with a fetal demise and cervix dilated at 4 cm indicates a medical emergency. Rapid intervention, including a cesarean section, is necessary to control bleeding and protect the mother’s life.
Choice D rationale
Normal vital signs and a category I fetal heart tracing with cervical dilation at 3 cm at 37 weeks indicate no immediate need for an emergent cesarean section, as labor can proceed naturally under observation.
Correct Answer is A
Explanation
Choice A rationale
Fever, tachycardia, abdominal pain, and purulent discharge are classic signs of endometritis, which is a postpartum infection of the uterine lining, indicating an inflammatory response to bacterial invasion.
Choice B rationale
Hypertension, headache, blurry vision, and chest pain are symptoms more indicative of preeclampsia or hypertensive disorders, not endometritis, which primarily affects the reproductive system.
Choice C rationale
Hyperglycemia, dehydration, and frequent urination are indicative of diabetes mellitus, particularly in cases of diabetic ketoacidosis, not associated with postpartum uterine infections.
Choice D rationale
Hypothermia, bradycardia, and jaundice suggest liver dysfunction or severe infections leading to sepsis, but these are not primary manifestations of endometritis which involves local uterine infection.
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