Solutions
1.A pregnant woman at 14 weeks of gestation is admitted to the
hospital with a diagnosis of hyperemesis gravidarum. What is
the primary goal of her treatment at this time?
A.Rest the gastrointestinal (GI) tract by restricting all oral intake
for 48 hours
B.Reduce emotional distress by encouraging the woman to
discuss her feelings
C.Reverse fluid, electrolyte, and acid-base imbalances
D.Restore the woman's ability to take and retain oral fluid and
foods Correct Answers C. Reverse fluid, electrolyte, and acid-
base imbalances
2. A nurse is assessing pregnant clients for hyperemesis
gravidarum. Which of the following clients is likely to be
suffering from hyperemesis gravidarum?
a.A client whose baby is measuring small for gestation
b.A client who is 11 weeks pregnant and vomits every morning
when she wakes
c.A client with a potassium of 2.8 mmol/L and calcium of 7.2
mmol/L
d.A client who is pregnant with twins and is having trouble
eating 3 meals a day Correct Answers c.A client with a
potassium of 2.8 mmol/L and calcium of 7.2 mmol/L
, 3. A pregnant client is admitted to the hospital with hyperemesis
gravidarum. She has been vomiting for several days and is
dehydrated. What management should the nurse anticipate?
A.Multivitamins
B.Total parenteral nutrition
C.IV fluids and electrolytes
D.PO ondansetron Correct Answers •Answer C: IV fluids and
electrolytes
4. A nurse is making recommendations for a pregnant client
with hyperemesis gravidarum. Which of the following should be
recommended to alleviate the hyperemesis? Select all that apply.
-Oral glucose
-Vitamin B6
-Small meals
-Add spice to food
-Ondansetron Correct Answers •Vitamin B6, small meals and
Ondansetron
5. A nurse is assessing newly pregnant clients for their risk for
hyperemesis gravidarum. Which client is at the highest risk?
A.A client that is a multigravida carrying one fetus
B.A client who has poor nutrition prior to pregnancy
C.A client who had a sister diagnosed with it
D.A client who exercises multiple times a day Correct Answers
•C - A client who had a sister diagnosed with it