The Pregnant Client with Hyperemesis Gravidarum
After instruction of a primigravid client at 8 weeks' gestation about measures to overcome early morning nausea and vomiting, which of the following client statements indicates the need for additional teaching?
"I'll eat two large meals daily with frequent protein snacks."
A primigravida admitted to the hospital with a diagnosis of hyperemesis gravidarum is placed on nothing-by-mouth (NPO) status and is receiving intravenous (IV) fl uid replacement therapy. In plan- ning this client's care, the nurse should collaborate with the health care provider (HCP) to carry out which of the following?
Per HCP orders, provide clear liquids by mouth after 24 hours if vomiting subsides.
A multigravid client is admitted at 16 weeks' gestation with a diagnosis of hyperemesis gravi- darum. The nurse should explain to the client that hyperemesis gravidarum is thought to be related to high levels of which of the following hormones?
Estrogen.
A multigravid client thought to be at 14 weeks' gestation reports that she is experiencing such severe morning sickness that "she has not been able to keep anything down for a week." The nurse should assess for signs and symptoms of which of the following?
Hypokalemia.
