QUESTION: "When caring for the pregnant client with hyperemesis gravidarum, the nurse would further assess the client for which of the following? "
CHOICES
( X ) a.) Abdominal pain.
( X ) b.) Leaking amniotic fluid.
( X ) c.) Pinkish vaginal discharge.
( O ) d.) Dehydration.
RATIONALE: Based on this client's history of hyperemesis gravidarum, the nurse needs to assess for signs and symptoms of possible dehydration such as scanty urine output, lassitude, and fever. Abdominal pain is not associated with hyperemesis gravidarum and should not be present. Abdominal pain may be suggestive of a gastric ulcer. The client should not experience any leaking amniotic fluid. A pinkish vaginal discharge or bright-red bleeding is not associated with hyperemesis gravidarum and should not be present. NURSING PROCESS STEP: Assessment CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Physiological adaptation
