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.
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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 D
Explanation
Peristalsis and uterine contractility would increase.
This is because progesterone is a hormone that relaxes the smooth muscles of the uterus and the gastrointestinal tract during pregnancy.
If progesterone were reduced or withdrawn, the uterus would contract more and peristalsis would increase, leading to possible preterm labor and digestive problems.
Choice A is wrong because insulin resistance would be decreased, not increased, by lower progesterone levels.
Progesterone increases insulin resistance during pregnancy to ensure adequate glucose supply for the fetus.
Choice B is wrong because sweat and sebaceous glands would decrease production, not increase, by lower progesterone levels.
Progesterone stimulates the activity of these glands during pregnancy to regulate body temperature and protect the skin from infections.
Choice C is wrong because pyrosis (heartburn) would decrease in frequency, not increase, by lower progesterone levels.
Progesterone relaxes the lower esophageal sphincter during pregnancy, allowing gastric acid to reflux into the esophagus and cause pyrosis.
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