Which finding most strongly supports a diagnosis of hyperemesis gravidarum rather than usual nausea and vomiting of pregnancy?

Correct answer: A. Persistent vomiting with weight loss and ketonuria

  • A. Persistent vomiting with weight loss and ketonuria
  • B. Mild nausea relieved by eating small meals
  • C. Occasional vomiting without dehydration or weight loss
  • D. Nausea occurring only after taking prenatal vitamins

Explanation

Hyperemesis gravidarum causes severe vomiting with dehydration, weight loss, electrolyte disturbance and ketonuria. Mild nausea without these effects is common in early pregnancy and does not by itself indicate hyperemesis gravidarum.

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About Complications of Pregnancy

Pregnancy complications include hyperemesis gravidarum, anaemia, ectopic pregnancy, miscarriage, antepartum haemorrhage, hypertensive disorders, gestational diabetes, infections and disorders of fetal growth. Questions focus on characteristic signs, risk factors, investigations, maternal and fetal effects, and nursing care, while acute life-threatening treatment belongs under obstetric emergencies.

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