A nurse is caring for a client who is at 16 weeks of gestation and has hyperemesis gravidarum. Which of the following clinical findings should the nurse expect?
Constipation
Ketonuria
Hypertension
Polyhydramnios
The Correct Answer is B
A. Constipation is not directly associated with hyperemesis gravidarum.
B. Ketonuria occurs due to prolonged vomiting and starvation, indicating fat breakdown for energy.
C. Hypertension is unrelated to hyperemesis gravidarum.
D. Polyhydramnios refers to excessive amniotic fluid and is not a feature of hyperemesis gravidarum.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Emptying the bladder is not a priority during an amniotic fluid embolism (AFE) emergency.
B. Oxygen at 2 L/min is insufficient; high-flow oxygen or intubation may be necessary.
C. Fundal massage is used to control bleeding, not to treat AFE.
D. An amniotic fluid embolism can cause sudden cardiovascular collapse and respiratory failure; preparing to initiate cardiopulmonary resuscitation (CPR) is critical for survival.
Correct Answer is C
Explanation
A. Changing a perineal pad every 4 hours is within expected postpartum norms for moderate bleeding. This client’s condition does not indicate an urgent issue.
B. A urine output of 750 mL over 6 hours is adequate (approximately 125 mL/hr) and does not signal immediate concern.
C. Deep tendon reflexes of 1+ in a client receiving IV magnesium sulfate may indicate early magnesium toxicity or impending hyporeflexia. Magnesium sulfate toxicity can lead to respiratory depression and cardiac arrest, making this the highest-priority client.
D. Abdominal cramping during breastfeeding is common due to uterine contractions (afterpains) and is generally expected and non-life-threatening. This can be addressed after assessing higher-priority clients.
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