The nurse provides instructions to a patient with hyperemesis gravidarum. Which outcome indicates that teaching has been effective?

Question

A) Patient has vomiting episodes only in the morning.
B) Patient is able to tolerate soft foods after episodes of vomiting.
C) Patient is able to ingest clear liquids between episodes of vomiting.
D) Patient is able to ingest a regular diet after progressing through clear liquids and soft foods.

Answer 1

D
Feedback:
The pregnant patient with hyperemesis gravidarum may be hospitalized and treated with intravenous fluids. If there is no vomiting after the first 24 hours of oral restriction, small amounts of clear fluid can be started, and the woman discharged home. If able to take clear fluid without vomiting, small quantities of dry toast, crackers, or cereal can be added every 2 or 3 hours, then the woman may be gradually advanced to a soft diet and then to a regular diet. If vomiting returns at any point, enteral or total parenteral nutrition may be prescribed to ensure she receives adequate nutrition. Vomiting episodes in the morning or tolerating clear liquids or soft foods between vomiting episodes indicates that teaching has not been effective.