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 C

Explanation

A. Decreasing fluid intake, especially during pregnancy, is not advisable as it can lead to dehydration and other complications.

B. While urinary frequency varies between individuals, it follows predictable patterns during pregnancy, influenced by hormonal and anatomical changes.

C. Increased urinary frequency is common in the first trimester due to hormonal changes and uterine growth but typically decreases by the second trimester. It often returns in the third trimester when the enlarging uterus exerts pressure on the bladder.

D. Poor bladder tone is not a standard explanation for continued urinary frequency during pregnancy; hormonal and anatomical factors are the primary causes.

A. This test will screen for gestational diabetes. B. This test will screen for fetal maturity. C. This test will screen for ABO incompatibility. D. This test will screen for neural tube defects.

Correct Answer is D

Explanation

A. MSAFP does not screen for gestational diabetes. Gestational diabetes is typically screened for between 24–28 weeks of gestation using glucose testing.

B. MSAFP does not assess fetal maturity; tests for maturity, such as lecithin-sphingomyelin ratio, are usually performed in the third trimester if preterm delivery is anticipated.

C. MSAFP does not evaluate ABO incompatibility, which is identified through maternal and fetal blood type testing.

D. MSAFP is a blood test that helps screen for neural tube defects like spina bifida or anencephaly and can also detect certain chromosomal abnormalities when used with additional tests in a quad screen.

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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

A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?

Correct Answer is D

Explanation

The tissue between the vaginal opening and the anus is known as the

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