A nurse is assisting with the planning of a presentation about the impact of hyperemesis gravidarum on client health. Which of the following statements should the nurse include?

"Psychological disorders may occur due to the impact on the client's quality of life."

"Persistent nausea and vomiting are expected during the first trimester."

"Clients who have hyperemesis gravidarum may seek care early in their pregnancy."

"Measures can be taken to prevent this disease from occurring."

Answer and Explanation

The Correct Answer is A

A. Psychological disorders may occur due to the impact on the client's quality of life is correct. Hyperemesis gravidarum can have a significant psychological impact on the client, leading to mental health issues such as depression, anxiety, and stress due to the prolonged discomfort and inability to perform daily activities.

B. Persistent nausea and vomiting are expected during the first trimester is inaccurate. While mild nausea and vomiting (morning sickness) is common during the first trimester, hyperemesis gravidarum involves severe nausea and vomiting that extends beyond the normal range and can occur at any point in pregnancy.

C. Clients who have hyperemesis gravidarum may seek care early in their pregnancy is not always true. Some clients may delay seeking care, thinking it’s normal pregnancy discomfort, while others may seek help immediately due to the severity of their symptoms.

D. Measures can be taken to prevent this disease from occurring is not correct. There are no known methods to prevent hyperemesis gravidarum, although some risk factors may increase the likelihood of developing it, such as high hCG levels or carrying multiples.

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Correct Answer is C

Explanation

A. The middle area of the fallopian tube is not the typical site for fertilization. The fertilization process most often occurs in the outer third of the fallopian tube, closer to the ovary.

B. The lower segment of the uterus is where implantation occurs after fertilization, but fertilization itself happens earlier in the fallopian tube.

C. The outer third of the fallopian tube near the ovary is the most common site of fertilization, where the sperm meets the egg shortly after ovulation.

D. The upper portion of the uterus is where the embryo implants after fertilization, but fertilization itself takes place in the fallopian tube, not in the uterus.

A. Relaxation of the uterus smooth muscle B. Constriction of cervical smooth muscle C. Stretching of the pelvic smooth muscle D. Contraction of the vaginal smooth muscle

Correct Answer is A

Explanation

A. Relaxation of the uterine smooth muscle occurs during labor and is key for allowing the cervix to dilate. Uterine contractions, which involve smooth muscle contractions, help facilitate cervical dilation and fetal descent into the birth canal.

B. Constriction of cervical smooth muscle would not facilitate dilation. In fact, cervical dilation is enabled by the relaxation of cervical smooth muscle in response to uterine contractions.

C. Stretching of the pelvic smooth muscle helps accommodate the descending fetus, but the primary action for dilation is the uterine contractions and relaxation of the cervix.

D. Contraction of the vaginal smooth muscle occurs during labor but does not directly impact the cervical dilation or fetal descent, as the primary muscular adaptation involved in labor is uterine contractions.

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A nurse is assisting with the planning of a presentation about the impact of hyperemesis gravidarum on client health. Which of the following statements should the nurse include?

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Naxlex Comprehensive Predictor Exams

Where is the most common site for fertilization?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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