Practice Question
A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum.
Answer Choices:
Rationale:
🟢 Urinary output 40 mL/hr → Sign of Potential Improvement
✅ Adequate urine output (≥30 mL/hr) indicates improving hydration and renal perfusion.
✅ Suggests that IV fluids or treatment are having a positive effect.
✅ Important recovery marker in hyperemesis gravidarum.
🔴 3+ Ketones → Sign of Potential Worsening Condition
⚠️ High ketone levels reflect ongoing fat metabolism due to caloric deprivation.
⚠️ Indicates the client is still in starvation mode and nutritional needs are unmet.
⚠️ A worsening sign that may call for nutritional intervention or antiemetic escalation.
🟡 Heart rate 100/min → Unrelated to Diagnosis
ℹ️ A heart rate of 100 bpm is borderline normal in pregnancy and may reflect mild dehydration.
ℹ️ Alone, it does not clearly suggest improvement or worsening.
ℹ️ Should be monitored in conjunction with other vitals.
🟢 WBC count 10,000/mm³ → Sign of Potential Improvement
✅ Falls within the normal pregnancy range (5,000–15,000).
✅ Indicates no sign of infection or systemic inflammation.
✅ A stable lab value that supports clinical recovery.
🔴 Urine specific gravity 1.050 → Sign of Potential Worsening Condition
⚠️ Very concentrated urine indicates significant dehydration.
⚠️ Specific gravity >1.030 signals the kidneys are trying to conserve water.
⚠️ Confirms that despite output, fluid replacement is still inadequate.
🟡 Urine pH 5 → Unrelated to Diagnosis
ℹ️ A pH of 5 is within normal range (4.5–8).
ℹ️ Not clinically useful in evaluating hydration or nutritional status.
ℹ️ Considered unrelated to hyperemesis gravidarum status.
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This question is from RN Maternal Newborn 2023 which contains 62 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 🤱🏼Maternity & Newborn Care
- Answer Choices: 0