A diagnosis of hyperemesis gravidarum is made in a pregnant woman when there is a condition of vomiting that causes:

A. Metabolic alkalosis
B. Hyperkalemia
C. Metabolic acidosis
D. None of the above


ANS: A
Hyperemesis gravidarum is defined as vomiting severe enough to cause "weight loss, dehydration, alkalosis from loss of hydrochloric acid, and hypokalemia." Hyperemesis gravidarum is associated with increases or changes in pregnancy-related hormones, such as hCG, estrogen, and progesterone (Cunningham et al., 2010; Harvey-Banchik, 2007). More than 50% of patients with hyperemesis gravidarum have elevated aminotransferase levels (Harvey-Banchik, 2007).

Nursing

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The nurse is working with a pregnant client who has six children. The ages of the children range from six months to twelve years of age. An example of health restoration when working with this client would include education regarding:

1. Prenatal care. 2. Appropriate nutrition. 3. Dental hygiene. 4. Effective contraception to prevent subsequent pregnancies.

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Which of the following was legislation that provided for direct and indirect financial subsidies to certain vulnerable population groups?

a. State Child Health Insurance Program Amendment, 1998 b. Hill-Burton Act of 1946 c. Tax Equity and Fiscal Responsibility Act of 1982 d. Federal Balanced Budget Act of 1997

Nursing

A nurse is caring for a 7-year-old girl scheduled for an intravenous pyelogram (IVP). Which action would be the priority before the test?

A) Checking with the parents for any allergies B) Ensuring adequate hydration C) Giving the girl an enema D) Screening her for pregnancy

Nursing

Edema will develop if the patient moves about actively.

Answer the following statement true (T) or false (F)

Nursing