A nurse is reinforcing teaching of a newly licensed nurse about hyperemesis gravidarum. Which of the following statements by the newly licensed nurse indicates the reinforced teaching was effective?

"A decrease in saliva production may aggravate the disorder."

"Decreasing gastric secretions lead to increased nausea."

"An increase in human chorionic gonadotropin (hCG) levels may contribute to this disorder."

"Symptoms begin and are most severe during the second trimester of pregnancy."

Answer and Explanation

The Correct Answer is C

A. A decrease in saliva production may aggravate the disorder is not correct. In fact, hyperemesis gravidarum is often associated with an increase in saliva production (ptyalism) rather than a decrease.

B. Decreasing gastric secretions lead to increased nausea is inaccurate. The issue in hyperemesis gravidarum is typically an increase in nausea and vomiting, not a direct link to decreased gastric secretions.

C. An increase in human chorionic gonadotropin (hCG) levels may contribute to this disorder is correct. Elevated hCG levels are thought to play a role in the development of hyperemesis gravidarum, as they may contribute to increased nausea and vomiting.

D. Symptoms begin and are most severe during the second trimester of pregnancy is incorrect. Hyperemesis gravidarum typically starts in the first trimester and can persist beyond that if not managed. Symptoms do not usually peak in the second trimester.

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Correct Answer is B

Explanation

A. Lightening refers to the sensation of the baby "dropping" into the pelvis, which typically occurs in the third trimester before labor, not at 18 weeks of gestation.

B. Quickening describes the first perception of fetal movement, often described as fluttering, and commonly occurs between 16 to 20 weeks of gestation.

C. Ballottement refers to the passive movement of the fetus when gently pushed, typically assessed during a physical examination, not a maternal sensation.

D. Chloasma is a skin change involving dark patches on the face and is unrelated to fetal movement or maternal sensations.

A. Decrease in production of sebaceous gland secretions B. Increase in muscle mass and strength C. Stimulation of production of white cells and platelets D. Promotion of growth of small bones

Correct Answer is B

Explanation

A. Decrease in production of sebaceous gland secretions is incorrect. Testosterone actually increases sebaceous gland activity, leading to an increase in oil production, which can contribute to acne during puberty.

B. Increase in muscle mass and strength is correct. Testosterone plays a key role in the development of secondary male characteristics, including increased muscle mass, strength, and the growth of larger bones.

C. Stimulation of production of white cells and platelets is incorrect. While testosterone affects many bodily functions, it does not directly stimulate the production of white cells or platelets.

D. Promotion of growth of small bones is incorrect. Testosterone is more closely associated with the growth and development of larger bones (e.g., long bones), leading to height increases during puberty. It does not promote the growth of small bones.

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A nurse is reinforcing teaching of a newly licensed nurse about hyperemesis gravidarum. Which of the following statements by the newly licensed nurse indicates the reinforced teaching was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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