Chapter 18 NCLEX Questions (Maternity-Newborn Nursing) Hyperemesis Gravidarum: Signs, Symptoms and Treatment "Unfortunately, the pregnancy is already lost. I had an IV for fluids and blood work taken. Which statement will the nurse include in the teaching? The only silver lining that kept me going is I know that the second the placenta is out Ill suddenly be able to eat normally again . BUT I will say, knowing that it may last the whole time, and knowing that it WILL end, has been helpful. A pregnant client with multiple gestation arrives at the maternity clinic for a regular antenatal check up. The nurse would be aware that client is at risk for which perinatal complication? A 44-year-old client has lost several pregnancies over the last 10 years. Hyperemesis Gravidarum WebHyperemesis gravidarum (HG) is a severe version of nausea and vomiting due to pregnancy. Sometimes an out-of-whack cycle isnt a big deal. In the following arguments, identify the premise(s) and conclusion, explain why the argument is deceptive, and, if possible, identify the type of fallacy it represents. She is concerned that she did something that caused her to lose her baby. But once the nausea and vomiting are more controlled by medication and/or IV fluids, having a cracker can calm your stomach because its now more closely-aligned with normal morning sickness. assessing the amount and color of the bleeding. What other priority physical assessments by the nurse should be implemented to assess for potential toxicity? A client at 25 weeks' gestation presents with a blood pressure of 152/99 mm Hg, pulse 78 beats/min, no edema, and urine negative for protein. But for a few, its much more intense. fetal heart rate Students also viewed Chapter 19 45 terms vvvmmmsss The majority of pregnant women experience some type of morningsickness (70 80%). Vomiting that persists after initial fluid and electrolyte replacement is treated with antiemetics and other medications taken as needed: Vitamin B6 10 to 25 mg orally every 8 hours or every 6 hours, Doxylamine 12.5 mg orally every 8 hours or every 6 hours (can be taken in addition to vitamin B6), Promethazine 12.5 to 25 mg orally, IM, or rectally every 4 to 8 hours, Metoclopramide 5 to 10 mg IV or orally every 6 to 8 hours, Ondansetron 8 mg orally or IM every 12 hours (for use before 10 weeks gestation, potential risks of congenital defects should be considered), Prochlorperazine 5 to 10 mg orally, IV, or IM every 6 hours OR 25 mg rectally 2 times a day, as needed. Multifetal (multiple) pregnancy occurs in up to 1 of 30 deliveries. Potassium loss (hypokalemia), I had lost 10 pounds, and there was not a food in existence that would stay in my stomach for more than a few minutes. The procedure is to clear the uterus to prevent further complications.". The nurse recognizes that which concern is greatest regarding this client? When preparing to administer the magnesium sulfate, the nurse would ensure that which medication would be readily available? 2. Once patients tolerate fluids, they can eat small, bland meals, and diet is expanded as tolerated.
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