A pregnant woman presents to the emergency department complaining of persistent nausea and vomiting. She is diagnosed with hyperemesis gravidarum. The nurse should include which information when teaching about diet for hyperemesis? (Select all that apply)
Eat three larger meals a day.
Ice cream may stay down better than other foods.
Eat what sounds good to you even if your meals are not well-balanced.
Avoid ginger tea or sweet drinks.
Eat a high-protein snack at bed.
Correct Answer : B,C,E
Choice A reason: Eating three larger meals a day is not recommended for hyperemesis gravidarum, as it may increase the nausea and vomiting. Instead, the nurse should advise the woman to eat small, frequent meals throughout the day.
Choice B reason: Ice cream may stay down better than other foods, as it is cold, bland, and soothing. The nurse should encourage the woman to try foods that are appealing to her and avoid foods that trigger nausea.
Choice C reason: Eating what sounds good to the woman even if her meals are not well-balanced is acceptable for hyperemesis gravidarum, as the priority is to maintain hydration and nutrition. The nurse should reassure the woman that she can resume a balanced diet once her symptoms improve.
Choice D reason: Avoiding ginger tea or sweet drinks is not necessary for hyperemesis gravidarum, as some women may find them helpful in reducing nausea. The nurse should suggest the woman to experiment with different beverages and see what works for her.
Choice E reason: Eating a high-protein snack at bedtime is beneficial for hyperemesis gravidarum, as it can prevent low blood sugar levels and morning sickness. The nurse should recommend the woman to have a protein-rich food, such as cheese, yogurt, nuts, or eggs, before going to bed.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: An antiemetic such as pyridoxine may be used to control vomiting in women with hyperemesis gravidarum, but it is not the initial treatment. The first priority is to restore fluid and electrolyte balance and prevent dehydration and hypovolemia.
Choice B reason: IV therapy is the initial treatment for women with hyperemesis gravidarum. It helps to correct fluid and electrolyte imbalances, prevent dehydration and hypovolemia, and restore normal blood pressure and urine output. IV fluids may also contain glucose, vitamins, and electrolytes to replenish losses.
Choice C reason: Enteral nutrition may be used to meet nutritional needs in women with hyperemesis gravidarum, but it is not the initial treatment. Enteral nutrition involves feeding through a tube inserted into the stomach or intestine. It may be considered if oral intake is not tolerated or adequate after IV therapy.
Choice D reason: Corticosteroids are not used to treat hyperemesis gravidarum. They are used to reduce inflammation in conditions such as asthma, rheumatoid arthritis, and allergic reactions. They have no effect on nausea and vomiting in pregnancy.
Correct Answer is D
Explanation
Choice A reason: Magnesium sulfate does not improve patellar reflexes and increase respiratory efficiency. In fact, it may cause hyporeflexia and respiratory depression as adverse effects. These are signs of magnesium toxicity and require immediate intervention.
Choice B reason: Magnesium sulfate does not prevent a boggy uterus and lessen lochial flow. A boggy uterus is a sign of uterine atony, which can lead to postpartum hemorrhage. Lochia is the normal vaginal discharge after childbirth. Magnesium sulfate has no effect on these conditions.
Choice C reason: Magnesium sulfate does not shorten the duration of labor. It may actually prolong labor by relaxing the uterine muscles and inhibiting contractions. Magnesium sulfate is not used to induce or augment labor.
Choice D reason: Magnesium sulfate is used to prevent and treat convulsions in women with preeclampsia and eclampsia. Convulsions are a life-threatening complication of severe hypertension during pregnancy. Magnesium sulfate acts as a central nervous system depressant and anticonvulsant. It reduces the risk of seizures and lowers blood pressure.
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