Which interventions may be indicated for the clinical management ...

[audragclark]

Which interventions may be indicated for the clinical management of hyperemesis gravidarum (HEG)? (Select all that apply.)
 
  a. Pyridoxine
  b. Total parenteral nutrition (TPN) for severe cases
  c. Promethazine (Phenergan)
  d. Levaquin (Levofloxacin)
  e. Omeprazole (Prilosec)
  f. Diphenhydramine (Benadryl)

Question 2

The physician suspects that the client may have gestational trophoblastic disease. Which clinical manifestations support this diagnosis? (Select all that apply.)
 
  a. Increased levels of beta-hCG in the serum
  b. Fundal height correlating with reported gestational age
  c. Vaginal bleeding
  d. Vomiting
  e. Maternal hypotension

[ecabral0]

Answer to Question 1

ANS: A, B, C, E, F
Pyridoxine (vitamin B6) may be indicated for the treatment of HEG. TPN is indicated for severe conditions. Phenergan, an antiemetic, and Prilosec, a gastric acid inhibitor, are also used for treatment of this condition. Benadryl is also used for treatment. An antibiotic such as Levaquin is not indicated for the treatment of this disease.

Answer to Question 2

ANS: A, C, D
In gestational trophoblastic disease (molar pregnancy), the following clinical manifestations would appear: increased serum beta-hCG levels, increased size of the uterus related to gestational age, nausea and vomiting, and evidence of vaginal bleeding. Development of preeclampsia earlier in the pregnancy would be noted, resulting in hypertension, not hypotension.