The clinic nurse talks with Suzy, a pregnant woman at 9 weeks' gestation who has just learned of her pregnancy. Suzy's nausea and vomiting are most likely caused by (select all that apply):
a. Increased levels of estrogen
b. Increased levels of progesterone
c. An altered carbohydrate metabolism
d. Increased levels of human chorionic gonadotropin
ANS: c, d
Nausea and vomiting during the first trimester most likely are related to rising levels of human chorionic gonadotropin (hCG) and altered carbohydrate metabolism. Changes in taste and smell, due to alterations in the oral and nasal mucosa, can further aggravate the gastrointestinal discomfort.
You might also like to view...
When people successfully adapt to their environment by using logical thought and socially appropriate ways, they are said to be functioning at the adaptive end of the ____ continuum
a. Emotional b. Self-protective c. Neurobiological d. Psychobiological
When administering parenteral medications, the nurse considers the viscosity of the fluid when determining which item?
1. The length of the needle required 2. The size of the syringe required 3. The size of the bevel required 4. The gauge of the needle required
A patient seeking care because of recurrent heartburn and regurgitation is subsequently diagnosed with a hiatal hernia. Which of the following should the nurse include in health education?
A) "Drinking beverages after your meal, rather than with your meal, may bring some relief." B) "It's best to avoid dry foods, such as rice and chicken, because they're harder to swallow." C) "Many patients obtain relief by taking over-the-counter antacids 30 minutes before eating." D) "Instead of eating three meals a day, try eating smaller amounts more often."
Which of the following best describes the purposes of ambulatory health care delivery?
A. Long-term skilled care, emergency care, health promotion B. Health promotion, managed care, selected surgery C. Health protection, short-term treatment, health promotion D. Short-term treatment, long-term treatment, health protection