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Focus on Maternity Exam Questions and
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A home care nurse is instructing a client with hyperemesis
gravidarum about measures to ease the nausea and vomiting. The
nurse tells the client to:
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Ans: Eat carbohydrates such as cereals, rice, and pasta
Low-fat foods and easily digested carbohydrates such as fruit, breads,
cereals, rice, and pasta provide important nutrients and help prevent a
low blood glucose level, which can cause nausea. Soups and other
liquids should be taken between meals to avoid distending the stomach
and triggering nausea. Sitting upright after meals reduces gastric reflux.
Additionally, food portions should be small and foods with strong odors
should be eliminated from the diet, because food smells often incite
nausea.
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Test-Taking Strategy: Use the process of elimination and focus on the
client's diagnosis and the subject, ways to ease and prevent nausea and
vomiting. Knowing that foods high in fat may be difficult to digest will assist
you in eliminating this option. Next eliminate the option that involves
consuming primarily soups and fluids at meals, recalling that liquids will
cause distention of the stomach. To select from the remaining options,
recall that lying down after meals can cause gastric reflux; this will direct
you to the correct option. Review measures to ease and prevent nausea
and vomiting if you had difficulty with this question.
A nurse is caring for a client with preeclampsia who is receiving a
magnesium sulfate infusion to prevent eclampsia. Which finding
indicates to the nurse that the medication is effective?
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Ans: The client experiences diuresis within 24 to 48 hours.
Magnesium sulfate is effective in preventing seizures (eclampsia) if diuresis
occurs within 24 to 48 hours of the start of the infusion. As part of the
therapeutic response, renal perfusion is increased and the client is free of
visual disturbances, headache, epigastric pain, clonus (the rapid rhythmic
jerking motion of the foot that occurs when the client's lower leg is
supported and the foot is sharply dorsiflexed), and seizure activity.
Hyperreflexia indicates cerebral irritability. Clonus is normally not present.
The therapeutic magnesium level is 4 to 8 mg/dL (1.64 to 3.29 mmol/L).
Reflexes range from 1+ to 2+ but should not be absent.
A client with preeclampsia who is receiving magnesium sulfate in an
intravenous infusion exhibits signs of magnesium toxicity. The nurse
immediately prepares for the administration of:
Focus on Maternity Exam Questions and
Correct Answers/ Latest Update /
Already Graded
A home care nurse is instructing a client with hyperemesis
gravidarum about measures to ease the nausea and vomiting. The
nurse tells the client to:
,2 | Page
Ans: Eat carbohydrates such as cereals, rice, and pasta
Low-fat foods and easily digested carbohydrates such as fruit, breads,
cereals, rice, and pasta provide important nutrients and help prevent a
low blood glucose level, which can cause nausea. Soups and other
liquids should be taken between meals to avoid distending the stomach
and triggering nausea. Sitting upright after meals reduces gastric reflux.
Additionally, food portions should be small and foods with strong odors
should be eliminated from the diet, because food smells often incite
nausea.
,3 | Page
Test-Taking Strategy: Use the process of elimination and focus on the
client's diagnosis and the subject, ways to ease and prevent nausea and
vomiting. Knowing that foods high in fat may be difficult to digest will assist
you in eliminating this option. Next eliminate the option that involves
consuming primarily soups and fluids at meals, recalling that liquids will
cause distention of the stomach. To select from the remaining options,
recall that lying down after meals can cause gastric reflux; this will direct
you to the correct option. Review measures to ease and prevent nausea
and vomiting if you had difficulty with this question.
A nurse is caring for a client with preeclampsia who is receiving a
magnesium sulfate infusion to prevent eclampsia. Which finding
indicates to the nurse that the medication is effective?
, 4 | Page
Ans: The client experiences diuresis within 24 to 48 hours.
Magnesium sulfate is effective in preventing seizures (eclampsia) if diuresis
occurs within 24 to 48 hours of the start of the infusion. As part of the
therapeutic response, renal perfusion is increased and the client is free of
visual disturbances, headache, epigastric pain, clonus (the rapid rhythmic
jerking motion of the foot that occurs when the client's lower leg is
supported and the foot is sharply dorsiflexed), and seizure activity.
Hyperreflexia indicates cerebral irritability. Clonus is normally not present.
The therapeutic magnesium level is 4 to 8 mg/dL (1.64 to 3.29 mmol/L).
Reflexes range from 1+ to 2+ but should not be absent.
A client with preeclampsia who is receiving magnesium sulfate in an
intravenous infusion exhibits signs of magnesium toxicity. The nurse
immediately prepares for the administration of:
