A nurse is reinforcing teaching of a newly licensed nurse about hyperemesis gravidarum. Which of the following statements by the newly licensed nurse indicates the reinforced teaching was effective?
"A decrease in saliva production may aggravate the disorder."
"Decreasing gastric secretions lead to increased nausea."
"An increase in human chorionic gonadotropin (hCG) levels may contribute to this disorder."
"Symptoms begin and are most severe during the second trimester of pregnancy."
The Correct Answer is C
A. A decrease in saliva production may aggravate the disorder is not correct. In fact, hyperemesis gravidarum is often associated with an increase in saliva production (ptyalism) rather than a decrease.
B. Decreasing gastric secretions lead to increased nausea is inaccurate. The issue in hyperemesis gravidarum is typically an increase in nausea and vomiting, not a direct link to decreased gastric secretions.
C. An increase in human chorionic gonadotropin (hCG) levels may contribute to this disorder is correct. Elevated hCG levels are thought to play a role in the development of hyperemesis gravidarum, as they may contribute to increased nausea and vomiting.
D. Symptoms begin and are most severe during the second trimester of pregnancy is incorrect. Hyperemesis gravidarum typically starts in the first trimester and can persist beyond that if not managed. Symptoms do not usually peak in the second trimester.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. There is no safe level of alcohol consumption during pregnancy. This is the correct statement. Alcohol consumption during pregnancy can lead to fetal alcohol spectrum disorders (FASD), and there is no known safe threshold for alcohol use during pregnancy.
B. Consuming one to two alcoholic beverages per day during pregnancy is not safe and could lead to fetal harm. There is no safe amount of alcohol consumption during pregnancy.
C. Drinking alcohol at any time during pregnancy is risky and can lead to serious complications for the fetus, even after the first trimester.
D. There is a clear and established link between maternal alcohol consumption and developmental and cognitive delays in the child. Therefore, this statement is inaccurate.
Correct Answer is D
Explanation
A. Estrogen plays a role in the development of the uterus and regulation of menstrual cycles, but it does not primarily reduce uterine contractions.
B. Testosterone is a male hormone and does not play a significant role in preventing uterine contractions during pregnancy.
C. Aldosterone helps regulate fluid balance and blood pressure, but it is not responsible for reducing uterine contractions during pregnancy.
D. Progesterone is the hormone primarily responsible for maintaining pregnancy by inhibiting uterine contractions, promoting uterine relaxation, and supporting the early stages of pregnancy. It plays a critical role in preventing spontaneous abortion, especially in early pregnancy.
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