Practice Question
A nurse is caring for a client who has been diagnosed with hyperemesis gravidarum. Which of the following conditions are risk factors for hyperemesis gravidarum?
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Correct Answer:
Twin gestations.
Rationale:
Twin gestations
✔️ Twin or multiple gestations result in higher levels of human chorionic gonadotropin (hCG) and estrogen, both of which are strongly associated with the development of hyperemesis gravidarum.
✔️ The increased placental mass in multifetal pregnancies contributes to hormonal surges that intensify nausea and vomiting.
✔️ Clients with twins are more prone to early and more severe symptoms of pregnancy-related nausea and vomiting.
✔️ This is a well-documented risk factor recognized in prenatal screening.
✔️ Early recognition in these pregnancies can lead to proactive hydration and antiemetic therapy.
Molar pregnancy
✔️ A molar pregnancy, or gestational trophoblastic disease, causes abnormally high levels of hCG, far exceeding those in normal pregnancy.
✔️ This abnormal trophoblastic proliferation is directly linked to severe nausea and vomiting, often refractory to standard treatment.
✔️ Hyperemesis may be one of the first clinical clues to suspect a molar pregnancy, especially when paired with uterine size greater than dates.
✔️ These patients may also experience hyperthyroidism and early-onset preeclampsia, further complicating care.
✔️ Molar pregnancy is a classic cause of exaggerated pregnancy symptoms.
History of hyperemesis
✔️ A previous history of hyperemesis gravidarum is a strong predictor of recurrence in future pregnancies.
✔️ Studies show that clients who experienced hyperemesis once are significantly more likely to experience it again, often with increased severity or earlier onset.
✔️ This risk is linked to genetic, hormonal, and gastrointestinal factors that may persist between pregnancies.
✔️ Nurses should use this history to initiate early interventions and client education.
✔️ Proactive planning may include prescribing antiemetics early and monitoring hydration status closely.
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This question is from RN ATI Maternity Quiz (Moitiso) which contains 31 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 5