The nurse is providing care to a client who is experiencing nausea and vomiting during the first trimester of pregnancy. Which actions by the nurse are appropriate based on this data? Select all that apply
A) Notify the healthcare provider that the client is experiencing hyperemesis gravidarum.
B) Educate the client to notify the healthcare provider if she vomits once per day
C) Suggest the client use acupressure to pressure points on the wrist
D) Teach the client that ginger may relieve her symptoms
E) Caution the client against using over-the-counter medications such as over-the-counter antihistamines
Answer: C, D
Nausea and vomiting is a common experience during the first trimester of pregnancy. The exact cause is unknown, but it is thought to be multifactorial. An elevated hCG level is believed to be a major factor, but changes in carbohydrate metabolism, fatigue, and
emotional factors also may play a role. Accupressure and ginger are two complementary therapies that the nurse can suggest to the client to relive the symptoms. There is no evidence that the client is experiencing hyperemesis gravidarum. The client should be taught to notify the healthcare provider if vomiting occurs more than once a day. Over-the-counter are safe to use during pregnancy to decrease the occurrence of nausea and vomiting.
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