A nurse is collecting data from a client who has hyperemesis gravidarum. Which of the following findings should the nurse anticipate?
Increased fundal height
Poor skin turgor
Decreased pulse rate
Proteinuria
The Correct Answer is B
(A) Increased fundal height:
Hyperemesis gravidarum, severe nausea, and vomiting during pregnancy, typically does not cause an increased fundal height. Fundal height may be normal or even decreased due to dehydration and weight loss.
(B) Poor skin turgor:
Poor skin turgor is a common finding in clients with hyperemesis gravidarum due to dehydration. Excessive vomiting leads to fluid loss and dehydration, resulting in poor skin elasticity and turgor.
(C) Decreased pulse rate:
Hyperemesis gravidarum usually results in dehydration and hypovolemia, which can lead to an increased heart rate rather than a decreased pulse rate. The body compensates for decreased fluid volume by increasing the heart rate to maintain adequate circulation.
(D) Proteinuria:
Proteinuria, the presence of abnormal amounts of protein in the urine, is not typically associated with hyperemesis gravidarum. Proteinuria can be a sign of kidney dysfunction or other medical conditions but is not directly related to severe nausea and vomiting during pregnancy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
(D) "I might be experiencing preterm labor if walking stops my contractions."
Walking or changing positions may temporarily alleviate contractions in some cases, but this does not necessarily indicate preterm labor. In fact, true preterm labor contractions typically continue despite activity changes. Therefore, this statement does not demonstrate an accurate understanding of preterm labor signs.
Correct Answer is A
Explanation
(A) "You will be prescribed methadone":
Methadone maintenance therapy is a commonly used treatment for opioid use disorder in pregnant women. Methadone helps to manage withdrawal symptoms, reduce cravings, and stabilize the individual, promoting healthier outcomes for both the mother and the baby.
(B) "You will be prescribed aripiprazole":
Aripiprazole is not typically prescribed for opioid use disorder. It is an antipsychotic medication used to treat conditions such as schizophrenia, bipolar disorder, and depression, but it is not indicated for opioid dependence or withdrawal.
(C) "You will be prescribed naloxone":
Naloxone is an opioid antagonist used to reverse opioid overdose. While it is crucial to have naloxone readily available for individuals with opioid use disorder to prevent overdose deaths, it is not a primary treatment for opioid use disorder during pregnancy.
(D) "You will be prescribed diazepam":
Diazepam is a benzodiazepine medication primarily used for anxiety, muscle spasms, and seizures. It is not indicated for the treatment of opioid use disorder during pregnancy. In fact, benzodiazepines like diazepam should be used with caution during pregnancy due to the risk of birth defects and neonatal withdrawal symptoms.
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