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 D
Explanation
Prolactin is a hormone that is responsible for inhibiting ovulation and stimulating milk production during pregnancy.
It is produced by the anterior pituitary gland and increases throughout pregnancy.
Choice A is wrong because hCG (human chorionic gonadotropin) is a hormone that is produced by the placenta and maintains the corpus luteum, which secretes progesterone and estrogen.
hCG does not inhibit ovulation or stimulate milk production.
Choice B is wrong because progesterone is a hormone that is produced by the corpus luteum and the placenta and supports the endometrium, prevents uterine contractions, and prepares the breasts for lactation.
Progesterone does not inhibit ovulation or stimulate milk production.
Choice C is wrong because estrogen is a hormone that is produced by the corpus luteum and the placenta and stimulates uterine growth, blood flow, and breast duct development.
Estrogen does not inhibit ovulation or stimulate milk production.
Correct Answer is A
Explanation
Progesterone is responsible for maintaining the corpus luteum and stimulating fetal growth.
Progesterone also prevents miscarriage by relaxing the uterus and maintaining the endometrium.
Choice B is wrong because estrogen is not responsible for maintaining the corpus luteum or stimulating fetal growth.
Estrogen helps develop the female sexual traits and supports the growth of the uterus and placenta.
Choice C is wrong because thyroid hormones are not responsible for maintaining the corpus luteum or stimulating fetal growth.
Thyroid hormones regulate the metabolism and energy levels of the mother and the fetus.
Choice D is wrong because prolactin is not responsible for maintaining the corpus luteum or stimulating fetal growth.
Prolactin stimulates milk production in the breasts after delivery.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.