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. While alcohol consumption in early pregnancy poses significant risks, it is not safe to drink alcohol at any point during pregnancy. There is no safe amount of alcohol that can be consumed without risk to the developing fetus.
B. Although the sentiment is correct in discouraging alcohol use, this response could be seen as judgmental and may not foster a supportive environment for the client.
C. We recommend no alcohol during pregnancy for the best outcomes. This is the correct and evidence-based response. The safest choice for both maternal and fetal health is to avoid alcohol entirely during pregnancy.
D. While alcohol consumption during pregnancy can lead to various issues like fetal alcohol syndrome, it is unlikely to directly cause the baby’s heart to stop beating.
Correct Answer is C
Explanation
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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