Deck 9: Hyperemesis Gravidarum

Question 1

A common symptom of hyperemesis gravidarum is

A) Mild nausea
B) Proteinuria
C) Dehydration
D) Swelling of ankles

Answer 1

Dehydration

Question 2

The definition of hyperemesis gravidarum includes all of the following except

A) Three or more episodes of nausea and emesis per 24-hour period
B) Initial loss of 2% total body weight
C) New onset of ketones in the urine
D) Initial loss of 3 kg from previous pre-pregnancy weights

Answer 2

Initial loss of 2% total body weight

Question 3

The decrease in gastric motility and delays gastric emptying in pregnancy is due to the effects of

A) Progesterone
B) Estrogen
C) Luteinizing hormone
D) Follicle-stimulating hormone

Answer 3

Progesterone

Question 4

A dietary modification that can decrease the potential for nausea and vomiting in pregnancy is

A) Consuming food with high fat content
B) Consuming food with high carbohydrate content
C) Eating three large meals per day
D) Eating small, frequent meals every day

Question 5

A risk factor for developing hyperemesis gravidarum is

A) Male child pregnancy
B) Pregnancy with multiples
C) Decreased levels of hCG
D) Transient decrease of thyroid hormone

Question 6

Maternal weight should be measured to determine whether excess weight loss has occurred at

A) The 8-week appointment
B) The 12-week appointment
C) The 16-week appointment
D) Every appointment

Question 7

First-line treatment for hyperemesis gravidarum includes all of the following measures except

A) Bedrest
B) Oral hydration
C) Relaxation techniques
D) Small, frequent meals

Question 8

Antiemetics work by

A) Stimulating gut motility
B) Replacing fluid volume
C) Blocking specific neurotransmitters
D) Decreasing production of gastric acid

Question 9

The IV fluids prescribed to replace deficiencies and volume in patients with hyperemesis gravidarum usually contain

A) Niacin
B) Folic acid
C) Thiamine
D) Cobalamin

Question 10

The body system that is the source of the majority of pregnancy-related complaints is the

A) Urinary system
B) Gastrointestinal system
C) Respiratory system
D) Muscular system

Question 11

Nausea that subsides around 12 weeks' gestation is classified as

A) Hyperemesis gravidarum
B) Emesis gravidarum
C) Motion sickness
D) Morning sickness

Question 12

Levels of hCG are at their peak at

A) 4-6 weeks' gestation
B) 9-13 weeks' gestation
C) 16-20 weeks' gestation
D) 25-30 weeks' gestation

Question 13

The symptoms of hyperemesis gravidarum can be intensified by

A) Consuming bland foods
B) Increased fluid intake
C) Prenatal vitamins containing iron
D) Consuming high-protein foods

Question 14

Long-term therapy for hyperemesis gravidarum may include

A) Thromboembolic stockings
B) Total parenteral nutrition
C) Insertion of a PICC line
D) All of the above

Question 15

When reviewing Case Study 2: Vaginal Bleeding, the patient's blood pressure was normal in the scenario. If the patient's blood pressure were decreased, that would indicate:

A) An early sign of potential blood loss
B) An early sign of extreme blood loss
C) A late sign of moderate blood loss
D) A late sign of extreme blood loss