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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A weight gain of 11 to 20 pounds is recommended for those who are overweight (BMI 25-29.9) before pregnancy, but this BMI category may still be higher than 26.5.
B. A weight gain of 25 to 35 pounds is generally recommended for women with a normal BMI (18.5-24.9) before pregnancy.
C. The recommendation for you is about 15 to 25 pounds. This is the correct guideline for women with a BMI of 26.5, which places them in the overweight category. The goal is to prevent excessive weight gain while ensuring proper fetal growth.
D. It really doesn’t matter exactly how much weight you gain, as long as your diet is healthy is incorrect. Weight gain during pregnancy should be monitored carefully, as excessive weight gain can increase the risk of complications such as gestational diabetes and hypertension.
Correct Answer is C
Explanation
A. Offering to stay with the client may be supportive, but it does not directly address the client’s expressed feelings or concerns, which is the priority in therapeutic communication.
B. Telling the client that the exam is necessary for birth control may seem dismissive and does not validate or explore her anxiety.
C. Encouraging the client to share more about her concerns is an appropriate therapeutic response. It allows the nurse to understand the client’s feelings, provide reassurance, and educate her about the procedure.
D. Advising the client to relax may come across as minimizing her feelings and does not provide an opportunity for the client to express her anxiety.
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