A pregnant patient enjoys exercising at a local health spa once a week.
Which patient comment indicates to the nurse that more health teaching is needed?

Choice A rationale

Follicle Stimulating Hormone (FSH) is involved in the maturation of ovarian follicles and the menstrual cycle. While it is crucial for fertility, it is not directly responsible for maintaining pregnancy once implantation occurs.

Choice B rationale

Progesterone is essential for maintaining pregnancy. It prepares the endometrium for implantation and supports the early stages of pregnancy by preventing uterine contractions that could dislodge the embryo.

Choice C rationale

Human chorionic gonadotropin (HCG) supports the corpus luteum in early pregnancy, ensuring the continued production of progesterone and estrogen. However, implantation failure is less likely due to a lack of HCG.

Choice D rationale

Prolactin plays a role in lactation and has some influence on reproductive health, but it is not primarily responsible for implantation. A lack of prolactin is less likely to be the cause of failed implantation. .

Rationale for correct condition: Hyperemesis gravidarum is a severe form of nausea and vomiting during pregnancy, leading to dehydration, weight loss, and electrolyte imbalance. The client's significant weight loss of 2.8 kg (6.2 lb) in two weeks, increased nausea and vomiting, and decreased appetite are classic symptoms. The elevated BUN level suggests dehydration, which aligns with hyperemesis gravidarum. The absence of abdominal pain and the presence of facial pallor further support this condition.

Rationale for actions:

1. Initiate IV fluid therapy to rehydrate the client and correct electrolyte imbalances caused by excessive vomiting.
2. Administer ondansetron IV to control nausea and vomiting, improving the client's ability to tolerate oral intake.

Rationale for parameters:

1. Weight should be monitored to assess the effectiveness of interventions and ensure the client is regaining or maintaining a healthy weight.
2. Urine output indicates hydration status and kidney function, helping to evaluate the adequacy of fluid replacement.

Rationale for incorrect conditions:

• Cholecystitis: The client denies abdominal or epigastric pain, which is a key symptom of cholecystitis.
• Gestational diabetes mellitus: There is no mention of elevated blood glucose levels or other diabetic symptoms.
• Preeclampsia: The client's blood pressure is within normal range, and there are no signs of hypertension or proteinuria.