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. Moderate exercise can help improve your circulation. This is the correct response. Regular, moderate exercise during pregnancy (such as walking or swimming) can improve circulation, boost energy levels, and promote overall health without posing risks to the pregnancy.
B. Resting for 5 minutes after exercise is not necessarily required. It is more important to exercise at a moderate intensity and stop if the woman feels fatigued, but short resting periods are not a standard requirement.
C. Weight-bearing exercises may not be appropriate for all pregnant women, especially those with certain complications. Low-impact exercises are generally recommended over weight-bearing ones.
D. While stretching is generally safe during pregnancy, the nurse should not make it seem like stretching is a primary concern unless the client has specific complications, like a risk of preterm labor or other health issues that limit movement.
Correct Answer is D
Explanation
A. MSAFP does not screen for gestational diabetes. Gestational diabetes is typically screened for between 24–28 weeks of gestation using glucose testing.
B. MSAFP does not assess fetal maturity; tests for maturity, such as lecithin-sphingomyelin ratio, are usually performed in the third trimester if preterm delivery is anticipated.
C. MSAFP does not evaluate ABO incompatibility, which is identified through maternal and fetal blood type testing.
D. MSAFP is a blood test that helps screen for neural tube defects like spina bifida or anencephaly and can also detect certain chromosomal abnormalities when used with additional tests in a quad screen.
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