The nurse is caring for a woman hospitalized for hyperemesis gravidarum. What should the nurse expect the initial treatment will be?
Select one:
Enteral nutrition to correct nutritional deficits.
Corticosteroids and antibiotics to reduce the infection.
NPO for 48 hrs and IV therapy to correct fluid and electrolyte imbalances.
All antiemetic, such as pyridoxine (vitamin B6) to control nausea and vomiting.
All antiemetic, such as pyridoxine (vitamin B6) to control nausea and vomiting.
The Correct Answer is C
a. This may be necessary once the woman's condition stabilizes, but it is not the initial treatment.
b. This is not typically indicated for hyperemesis gravidarum.
c. This is the initial treatment for hyperemesis gravidarum to prevent dehydration and correct electrolyte imbalances.
d. This may be part of the treatment plan, but it is not the initial treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. Aspirin can relieve pain, but it is not typically used for primary dysmenorrhea due to its potential side effects.
b. Morphine can relieve pain, but it is not typically used for primary dysmenorrhea due to its potential for addiction and other side effects.
c. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as Aleve (naproxen) are often used to relieve pain associated with primary dysmenorrhea.
d. IUDs are not used for pain relief in primary dysmenorrhea but may be used for contraception.
Correct Answer is D
Explanation
a. A scalp electrode is not indicated unless there is a problem with the external monitor tracing or if further assessment of the fetal heart rate variability is needed.
b. This is important but repositioning the patient is the priority.
c. Amnioinfusion is only done if repositioning the patient does not resolve the late decelerations.
d. The nurse is observing late decelerations of the fetal heart rate, which indicate uteroplacental insufficiency and fetal hypoxia. The nurse's first priority is to reposition the patient to improve placental blood flow and oxygen delivery to the fetus. Repositioning can be done by turning the patient to her side, elevating her legs, or placing a wedge under her hip.
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