The nurse who is caring for a woman hospitalized for hyperemesis gravidarum would expect the initial treatment to involve what?

Intravenous (IV) therapy to correct fluid and electrolyte imbalances

Enteral nutrition to correct nutritional deficits

Corticosteroids to reduce inflammation

Antiemetic medication, such as pyridoxine, to control nausea and vomiting

Answer and Explanation

The Correct Answer is A

A. Intravenous (IV) therapy to correct fluid and electrolyte imbalances: The primary concern in hyperemesis gravidarum is dehydration and electrolyte imbalances due to excessive vomiting. IV fluids are the first-line treatment to restore hydration and correct any imbalances.

B. Enteral nutrition to correct nutritional deficits: Enteral nutrition is considered if the client cannot tolerate oral intake after initial IV therapy, but it is not the first-line treatment.

C. Corticosteroids to reduce inflammation: Corticosteroids are not typically used for hyperemesis gravidarum. They may be considered in severe, refractory cases, but they are not part of the initial treatment.

D. Antiemetic medication, such as pyridoxine, to control nausea and vomiting: Although pyridoxine (vitamin B6) and antiemetics are commonly used to manage nausea, the initial priority is rehydration and correction of electrolyte imbalances before initiating oral medications.

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Correct Answer is C

Explanation

A. "I need to stay on the diabetic diet." Dietary management is the first-line treatment for GDM and helps maintain blood glucose levels within the target range.

B. "I need to be aware of any infections and report signs of infection immediately to my primary health care provider (PHCP)." Infections can increase insulin resistance and lead to hyperglycemia. Clients with GDM should monitor for signs of infection (e.g., fever, urinary symptoms) and seek prompt treatment.

C. "I would avoid exercise because of the negative effects on insulin production." Regular exercise improves insulin sensitivity and helps control blood glucose levels. Clients with GDM are encouraged to engage in moderate physical activity unless contraindicated.

D. "I need to perform glucose monitoring at home." Home glucose monitoring is essential for assessing glycemic control and guiding treatment decisions.

A. A client who is experiencing fetal death at 32 weeks of gestation B. A client who is experiencing Braxton-Hicks contractions at 36 weeks of gestation C. A client who is experiencing preterm labor at 26 weeks of gestation D. A client who has a post-term pregnancy at 42 weeks of gestation

Correct Answer is C

Explanation

A. A client who is experiencing fetal death at 32 weeks of gestation: Tocolytic therapy delays preterm labor to improve fetal outcomes. If fetal death has already occurred, there is no benefit in delaying labor.

B. A client who is experiencing Braxton-Hicks contractions at 36 weeks of gestation: Braxton-Hicks contractions are false labor contractions that do not cause cervical changes. Tocolytics are not needed for false labor.

C. A client who is experiencing preterm labor at 26 weeks of gestation: Tocolytic therapy is appropriate for preterm labor before 34 weeks of gestation, especially in very preterm pregnancies (before 28 weeks) to allow for fetal lung maturation and steroid administration.

D. A client who has a post-term pregnancy at 42 weeks of gestation: Tocolytics are used to delay preterm labor, not to stop contractions in post-term pregnancies. A 42-week pregnancy requires induction of labor, not suppression.

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The nurse who is caring for a woman hospitalized for hyperemesis gravidarum would expect the initial treatment to involve what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational diabetes mellitus. Which statement made by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?

Correct Answer is C

Explanation

What is an important factor to consider when analyzing labor progression?

A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?

A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?

A nurse is assessing a client at 10 weeks of gestation who has been diagnosed with hyperemesis gravidarum. Which of the following manifestations should the nurse expect? (Select all that apply.)

A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse, "Will my baby be okay?" Which of the following responses should the nurse offer?

Which of the following statements about pyelonephritis in pregnancy is correct?

A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?

A nurse is providing teaching to a client who is at 30 weeks of gestation and is to have a nonstress test (NST). Which of the following statements by the client indicates a need for further teaching?