MODULE B NUR 106 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Question: What is hyperemesis gravidarum?
Answer: ✔✔ Severe, persistent nausea and vomiting during pregnancy that leads
to significant weight loss, fluid and electrolyte imbalances, and severe dehydration
in the mother.
Question: What are the major clinical signs and laboratory findings associated
with hyperemesis gravidarum?
Answer: ✔✔
Loss of 5% or more of pre-pregnancy body weight
Signs of dehydration (poor skin turgor, dry mucous membranes, oliguria)
Ketonuria (elevated blood and urine ketones from fat
breakdown/starvation)
Metabolic alkalosis (from loss of hydrochloric acid via excessive vomiting)
Hypokalemia (low serum potassium level) and hypochloremia
Question: What nutritional and lifestyle interventions should the nurse teach a
client with hyperemesis gravidarum?
Answer: ✔✔
Eat small portions every 2 to 3 hours rather than large meals.
Choose low-fat, high-carbohydrate, and dry or salty foods (e.g., crackers,
toast).
Sip clear liquids/soups between meals rather than with food to prevent
gastric distension.
Remain sitting upright after eating to minimize reflux.
Consume potassium- and magnesium-rich foods as tolerated to replenish lost
electrolytes.
Question: What is an ectopic pregnancy?
Answer: ✔✔ Implantation of a fertilized ovum outside the normal endometrial
cavity of the uterus—most commonly in the ampulla of the fallopian tube.
What increases risk for ectopic pregnancy -ANSWER ✔✔-recurrent pelvic
infection
-inflammation
-surgery
-failed tubal ligation
-IUD
, -infertility
What is the goal of medical management of an intact tube -ANSWER ✔✔preserve
tube & improve the chance of future fertility
Methotrexate -ANSWER ✔✔(folic acid antagonist)inhibits cell division & stops
embryo growth
intervention for ectopic pregnancy -ANSWER ✔✔-assess pain level
-administer of rh immune globulin( rogam )
-explain side effects & treatment plan
incompetent cervix -ANSWER ✔✔spontaneous, premature dilation of the cervix
during the second trimester of pregnancy
Incompetent Cervix treatment -ANSWER ✔✔cervical cerclage( stitch that offers
support needs removed before labor)
Incompetent Cervix interventions -ANSWER ✔✔-provide emotional support
-signs & prevention of infection
-contraception teaching
Abortion -ANSWER ✔✔fetus is less than 20 weeks or 500g
Spontaneous abortion -ANSWER ✔✔miscarriage 80% occur in first 12 weeks
threatened abortion -ANSWER ✔✔bleeding with the threat of miscarriage
Inevitable abortion -ANSWER ✔✔membrane rupture or cervical dilatation( can be
gross or steady leak) recommend 1 normal cycle before trying again
incomplete abortion -ANSWER ✔✔abortion without expulsion of all of the
products of conception
complete abortion -ANSWER ✔✔all products of conception are expelled
missed abortion -ANSWER ✔✔An abortion in which the products of conception
are no longer viable but are retained in the uterus.
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Question: What is hyperemesis gravidarum?
Answer: ✔✔ Severe, persistent nausea and vomiting during pregnancy that leads
to significant weight loss, fluid and electrolyte imbalances, and severe dehydration
in the mother.
Question: What are the major clinical signs and laboratory findings associated
with hyperemesis gravidarum?
Answer: ✔✔
Loss of 5% or more of pre-pregnancy body weight
Signs of dehydration (poor skin turgor, dry mucous membranes, oliguria)
Ketonuria (elevated blood and urine ketones from fat
breakdown/starvation)
Metabolic alkalosis (from loss of hydrochloric acid via excessive vomiting)
Hypokalemia (low serum potassium level) and hypochloremia
Question: What nutritional and lifestyle interventions should the nurse teach a
client with hyperemesis gravidarum?
Answer: ✔✔
Eat small portions every 2 to 3 hours rather than large meals.
Choose low-fat, high-carbohydrate, and dry or salty foods (e.g., crackers,
toast).
Sip clear liquids/soups between meals rather than with food to prevent
gastric distension.
Remain sitting upright after eating to minimize reflux.
Consume potassium- and magnesium-rich foods as tolerated to replenish lost
electrolytes.
Question: What is an ectopic pregnancy?
Answer: ✔✔ Implantation of a fertilized ovum outside the normal endometrial
cavity of the uterus—most commonly in the ampulla of the fallopian tube.
What increases risk for ectopic pregnancy -ANSWER ✔✔-recurrent pelvic
infection
-inflammation
-surgery
-failed tubal ligation
-IUD
, -infertility
What is the goal of medical management of an intact tube -ANSWER ✔✔preserve
tube & improve the chance of future fertility
Methotrexate -ANSWER ✔✔(folic acid antagonist)inhibits cell division & stops
embryo growth
intervention for ectopic pregnancy -ANSWER ✔✔-assess pain level
-administer of rh immune globulin( rogam )
-explain side effects & treatment plan
incompetent cervix -ANSWER ✔✔spontaneous, premature dilation of the cervix
during the second trimester of pregnancy
Incompetent Cervix treatment -ANSWER ✔✔cervical cerclage( stitch that offers
support needs removed before labor)
Incompetent Cervix interventions -ANSWER ✔✔-provide emotional support
-signs & prevention of infection
-contraception teaching
Abortion -ANSWER ✔✔fetus is less than 20 weeks or 500g
Spontaneous abortion -ANSWER ✔✔miscarriage 80% occur in first 12 weeks
threatened abortion -ANSWER ✔✔bleeding with the threat of miscarriage
Inevitable abortion -ANSWER ✔✔membrane rupture or cervical dilatation( can be
gross or steady leak) recommend 1 normal cycle before trying again
incomplete abortion -ANSWER ✔✔abortion without expulsion of all of the
products of conception
complete abortion -ANSWER ✔✔all products of conception are expelled
missed abortion -ANSWER ✔✔An abortion in which the products of conception
are no longer viable but are retained in the uterus.
