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 B

Explanation

A. Repaglinide: Repaglinide is an oral hypoglycemic agent, but it is not recommended in pregnancy due to limited safety data.

B. Insulin: Insulin is the preferred treatment for gestational diabetes mellitus (GDM) when diet and exercise are insufficient. It does not cross the placenta and is safe for both the mother and fetus.

C. Glipizide: Glipizide is an oral sulfonylurea that crosses the placenta and may cause neonatal hypoglycemia. It is not recommended for GDM.

D. Acarbose: Acarbose is not commonly used in pregnancy due to limited safety data and concerns about gastrointestinal side effects.

A. "It is useful for estimating fetal age." B. "This will determine if there is more than one fetus." C. "This is a screening tool for spina bifida." D. "It assists in identifying the location of the placenta and fetus."

Correct Answer is D

Explanation

A. "It is useful for estimating fetal age." While ultrasound can estimate fetal age, the primary purpose before amniocentesis is to guide needle placement.

B. "This will determine if there is more than one fetus." Although ultrasound can detect multiple pregnancies, this is not its main function before amniocentesis.

C. "This is a screening tool for spina bifida." Ultrasound can assist in detecting neural tube defects, but amniocentesis is primarily used for genetic testing.

D. "It assists in identifying the location of the placenta and fetus."Ultrasound helps determine the safest location for needle insertion to avoid injuring the fetus or placenta.

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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

A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?

Correct Answer is B

Explanation

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?

Correct Answer is D

Explanation

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