A nurse is caring for a pregnant client who has hyperemesis gravidarum and is receiving IV fluids and antiemetics in an acute care facility.
Which of the following outcomes indicates that treatment has been effective?
The client reports a decrease in nausea and vomiting.
The client gains 1 kg (2.2 lb) in 24 hr.
The client's urine specific gravity is 1.035
The client's hematocrit is 38%.
The Correct Answer is A
The correct answer is choice A. The client reports a decrease in nausea and vomiting.
This indicates that the treatment has been effective in reducing the symptoms of hyperemesis gravidarum and improving the quality of life of the client.
Choice B is wrong because weight gain alone is not a reliable indicator of treatment effectiveness.
Weight gain may be due to fluid retention or other factors unrelated to nausea and vomiting.
Choice C is wrong because urine specific gravity of 1.035 is high and indicates dehydration, which is a complication of hyperemesis gravidarum.
The normal range of urine specific gravity is 1.005 to 1.0302.
Choice D is wrong because hematocrit of 38% is within the normal range for pregnant women (33 to 39%) and does not reflect the severity or improvement of hyperemesis gravidarum.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is because cramping and vaginal bleeding 24 hours after amniocentesis are signs of possible complications, such as injury to the baby or mother, leaking of amniotic fluid, infection, Rh sensitization, preterm labor, or miscarriage.
These complications are rare, but they can be serious and require immediate medical attention.
Choice B is wrong because administering pain medication to the patient does not address the underlying cause of the cramping and bleeding, and may delay seeking help.
Choice C is wrong because encouraging the patient to rest and elevate her legs may not prevent further complications, and may also delay seeking help.
Choice D is wrong because offering emotional support and reassurance to the patient is not enough to ensure the safety of the baby and the mother, and may give a false sense of security.
Normal ranges for amniocentesis are:
No chromosomal defects detected in the fetus and no abnormal proteins present in amniotic fluid
No signs of infection or other illness in the baby
Fetal lungs mature enough for birth if delivery is planned sooner than 39 weeks
Correct Answer is B
Explanation
This change alters the center of gravity and posture of the body because the uterus expands and shifts higher as the fetus grows during pregnancy.
This causes an increased strain on the muscles and ligaments supporting the vertebral column and leads to lower back pain.
Choice A is wrong because increased joint laxity does not alter the center of gravity and posture of the body.
It is caused by hormonal changes that loosen the ligaments throughout the body, resulting in decreased stability of the joints.
Choice C is wrong because increased muscle strain does not alter the center of gravity and posture of the body.
It is a consequence of the shift in the center of gravity and the weight gain during pregnancy, which put more pressure on the back muscles.
Choice D is wrong because decreased muscle strength does not alter the center of gravity and posture of the body.
It is not a common musculoskeletal change during pregnancy, although some women may experience fatigue or weakness due to hormonal changes or anemia.
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