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Question

A 30-year-old pregnant woman with hyperemesis gravidarum is at risk for Wernicke's encephalopathy. Which vitamin supplement is essential in her treatment plan?

The correct answer is

Administer intravenous thiamine therapy

Repeated vomiting in hyperemesis gravidarum depletes thiamine (vitamin B1), which can cause Wernicke’s encephalopathy — confusion, ataxia and ophthalmoplegia.

Treatment and prevention require intravenous thiamine, given before any glucose-containing fluids, because glucose can precipitate or worsen Wernicke’s encephalopathy in thiamine deficiency.

Folic acid, vitamin D and vitamin C do not prevent or treat this complication.

Hence, Administer intravenous thiamine therapy.

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Similar Questions

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  2. During infertility assessment, a female is diagnosed with Asherman's syndrome. What is the primary mechanism by which this condition causes infertility?

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Important Questions from Midwifery and Obstetrical Nursing

  1. A 29-year-old woman presents with primary infertility and regular cycles. Her hysterosalpingography reveals bilateral tubal blockage. Which investigation should be prioritized next for management?

  2. During infertility assessment, a female is diagnosed with Asherman's syndrome. What is the primary mechanism by which this condition causes infertility?

  3. Which hormone fluctuation is primarily linked to premenstrual syndrome symptoms?

  4. During assessment, a midwife observes a blood-tinged mucus discharge, known as the 'show,' in a pregnant woman. What is the significance of this finding?

  5. Effective maternal–infant bonding in the immediate postnatal period primarily helps the mother to achieve which of the following?

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