NURS 3334 Module 3 Ch 20 Review Questions and Correct Answers

risk factors for multi zygotic twins advanced maternal age, ART, African descent, family history of fraternal twinning what is of higher occurrence with twin pregnancies gestational diabetes, HTN disorders of pregnancy (preeclampsia), PE, fetal growth restrictions and anomalies, early pregnancy loss, stillbirth and placenta previa hyperemesis gravidarum has a high recurrence in subsequent pregnancies etiology of HG hormone changes, physical variations of inner ear, GI tract, corpus luteum, or psychological factors risk factors for HG history of HG, GTD, MP, hyperthyroidism, GI disease prior, depression and anxiety, female fetus what to ASSESS in HG dehydration (tenting, dry mm) malnutrition (ketones in urine, weight loss) labs can evaluate for hyperthyroidism, GI disease, liver disease and infection ultrasound may be done to assess for multiple pregnancy and rule out GTD what H1 receptor antagonists are used for HG doxylamine diphenhydramine hydroxyzine what H2 receptor antagonists are use for HG (what do they do) famotidine ranitidine may work by minimizing reflux what dopamine antagonists are used for HG metclopramide (enhances peristalsis) promethazine (works centrally on brain) what serotonin antagonists are used fro HG ondansetron what are used as a LAST resort for HG corticosteroids because they cause cleft malformation what is often required for HG IV rehydration with normal saline, electrolytes, amino acids, carbs, and vitamins (thiamine!!)