Question 1

1. What percentage of pregnant women suffer from hyperemesis gravidarum?

Accepted Answer

A) 0.2% to 3.6%

Answer

C) 10% to 12%

Answer

B) 4.0% to 6.2%

Answer

D) 10% to 20%

Question 2

2 . Which of the following is part of the definition of hyperemesis gravidarum?

Accepted Answer

D) Severe nausea and vomiting with weight loss greater than 5% of prepregnancy body weight

Answer

C) Vomiting that appears after the 20th week of pregnancy

Answer

A) Vomiting that persists for the entire pregnancy

Answer

B) Vomiting upon arising more than five days per week

Question 3

3 . Thiamine (vitamin B₁) deficiency results in which potential maternal complication of hyperemesis gravidarum?

Accepted Answer

C) Wernicke encephalopathy

Answer

B) Esophageal rupture

Answer

A) Renal failure

Answer

D) Osmotic demyelination syndrome

Question 4

4 . Which of the following gestational hormones is hypothesized to be correlated with hyperemesis gravidarum?

Accepted Answer

D) Human chorionic gonadotropin (hCG)

Answer

A) Estrogen

Answer

B) Testosterone

Answer

C) Human placental lactogen (HPL)

Question 5

5 . Which of the following bacteria has been investigated as a cause of hyperemesis gravidarum?

Accepted Answer

B) Helicobacter pylori

Answer

A) Shigella

Answer

D) Group B streptococcus

Answer

C) Staphylococcus aureus

Question 6

6 . Nurses should make which of the following recommendations regarding prenatal vitamins to the patient with hyperemesis gravidarum?

Accepted Answer

D) Stop taking prenatal vitamins containing iron until vomiting is resolved

Answer

A) Take prenatal vitamins after eating.

Answer

C) Add an iron supplement to the prenatal vitamins.

Answer

B) Take prenatal vitamins before eating.

Question 7

7 . Which of the following dietary recommendations are effective in the management of hyperemesis gravidarum?

Accepted Answer

D) Eating small, frequent meals

Answer

A) Eating high-fat foods

Answer

B) Drinking fluids with meals

Answer

C) Removing salt from the diet

Question 8

8. Common causes of antepartum haemorrhage (APH, bleeding from the genital tract from 24 weeks' gestation) include which of the following?

Accepted Answer

B Undetermined origin

C Placenta praevia

E Placental abruption

Answer

F None of the above

Answer

A Vasa praevia

Answer

D Uterine rupture

Question 9

9. Regarding placenta praevia, which of the following are true?

Accepted Answer

A Placenta praevia complicates about 0.4% of pregnancies at term

E Complications of placenta praevia include need for caesarean section, haemorrhage, placenta accreta, placenta percreta and hysterectomy.

Answer

D The patient should be routinely managed under inpatient care with delay of delivery until the patient labours, at which time caesarean section will be performed.

Answer

B Placenta praevia cannot be diagnosed with ultrasound.

Answer

C The majority of ‘low-lying’ placentas diagnosed at 20 weeks will remain so at term.

Question 10

10. Placental abruption: which of the following are true?

Accepted Answer

A Many antepartum haemorrhages of ‘undetermined origin’ are probably small placental abruptions.

C Visible haemorrhage is absent in 20%.

D Risk factors for abruption include pre-eclampsia, autoimmune disease, maternal smoking, cocaine use and a previous history.

Answer

F Abruption is usually painless.

Answer

E Abruption is best diagnosed by ultrasound.

Answer

B Most of the blood loss is fetal.

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