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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Decreased fetal heart rate can occur due to uteroplacental insufficiency but is not specific to hypertonic contractions.
Choice B rationale
The uterus may not relax between contractions, leading to a lack of rest periods for the fetus and compromised blood flow.
Choice C rationale
Easily indentable contractions are characteristic of hypotonic contractions, not hypertonic ones.
Choice D rationale
Weak and ineffective contractions indicate hypotonic labor, contrasting the excessive strength of hypertonic contractions.
NGN QUESTIONS
Correct Answer is A
Explanation
Choice A rationale
History of uterine rupture poses a significant risk for a trial of labor after cesarean (TOLAC) due to the potential recurrence of uterine rupture, which can be life-threatening for both mother and fetus.
Choice B rationale
Previous cesarean section for breech presentation is not a contraindication for TOLAC. Patients with prior cesarean deliveries can consider TOLAC if there are no additional risk factors.
Choice C rationale
Previous low transverse cesarean section birth is often considered suitable for TOLAC, as the lower segment incision has a lower risk of rupture compared to vertical or classical incisions.
Choice D rationale
Low-risk pregnancy alone is not a contraindication for TOLAC. It is essential to assess other factors such as uterine scarring, maternal health, and fetal status when considering TOLAC eligibility.
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