Year Gravida Para Assignment Help: How to Answer This Question
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Original Question
A 24-year-old gravida 1, para 0 woman at ten weeks gestational age presents with persistent nausea and vomiting. She has heard that some women require intravenous fluids and feeding during pregnancy, and she is concerned that this may happen to her. Her prepregnancy body mass index was 23.2 kg/m2, with a prepregnancy weight of 142 pounds. She now weighs 141 pounds. At today’s visit she is able to hold down liquids and some limited foods. Her blood pressure is 122/88 mmHg supine and 120/85 mmHg standing. What is the next best step in management? Reassurance that her vomiting is within reasonable limits and supportive management with nutritional guidance and medication. Dismissal from the appointment without further discussion. Admission to an inpatient floor for total parenteral nutrition with a diagnosis of hyperemesis gravidarum. Referral to the emergency department for intravenous rehydration for intolerance of liquids. Admission to an inpatient floor for orthostatic hypotension due to dehydration.
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