The nurse caring for a woman hospitalized for hyperemesis gravidarum should expect that initial treatment will involve:
an antiemetic such as pyridoxine to control vomiting.
IV therapy to correct fluid and electrolyte imbalances.
enteral nutrition to meet nutritional needs.
corticosteroids to reduce inflammation.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: Abstinence is the avoidance of sexual activity, which reduces the risk of exposure to STIs. It is not a sexual risk behavior.
Choice B reason: Multiple sex partners increases the likelihood of exposure to STIs, especially if the partners are not tested or treated. It is a sexual risk behavior.
Choice C reason: Unprotected anal intercourse exposes the mucous membranes of the rectum and anus to potential pathogens, which can cause STIs such as gonorrhea, chlamydia, syphilis, and HIV. It is a sexual risk behavior.
Choice D reason: Oral sex involves contact between the mouth and the genitals or anus, which can transmit STIs such as herpes, HPV, gonorrhea, and syphilis. It is a sexual risk behavior.
Choice E reason: Dry kissing is the contact between the lips without the exchange of saliva, which does not transmit STIs. It is not a sexual risk behavior.
Correct Answer is A
Explanation
Choice A reason: Fetal sleep cycles are a normal physiological cause of decreased variability in the FHR, which is the fluctuation of the baseline FHR above and below 2 cycles per minute. Fetal sleep cycles usually last 20 to 40 minutes and do not affect the fetal well-being.
Choice B reason: Umbilical cord compression is an abnormal cause of decreased variability in the FHR, as it reduces the blood flow and oxygen delivery to the fetus. It can also cause variable decelerations, which are abrupt decreases in the FHR below the baseline.
Choice C reason: Altered cerebral blood flow is an abnormal cause of decreased variability in the FHR, as it indicates a compromise in the fetal central nervous system. It can also cause late decelerations, which are gradual decreases in the FHR after the peak of a contraction.
Choice D reason: Fetal hypoxemia is an abnormal cause of decreased variability in the FHR, as it reflects a severe lack of oxygen in the fetal blood. It can also cause sinusoidal pattern, which is a smooth, undulating waveform in the FHR.
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