The patient is in her first trimester of pregnancy. She complains of feeling nauseated and has vomited on occasion. She tells the nurse that she did not have this with her first pregnancy
She asks the nurse, "What is causing this and when will it end?" How should the nurse respond?
What will be an ideal response
The nurse should explain that nausea is a common occurrence during the first trimester of pregnancy, believed to be related to elevated levels of hCG, progesterone and estrogens, and that the nausea should end once her body adjusts to the increased hormone levels. Over 50% of pregnancies are accompanied by nausea and vomiting, at least to a slight degree. But she should report any weight loss, since if she loses >5% of her body weight, the condition of hyperemesis gravidarum should be considered, which can lead to electrolyte imbalances, miscarriage, and even death.
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