Which is appropriate treatment for hyperemesis gravidarum?

Which is appropriate treatment for hyperemesis gravidarum?

• A. EKG monitoring for irregularities
• B. Cesarean section
• C. Benzodiazepine administration
• D. IV fluid replacement

Answer: (D)

Hyperemesis gravidarum primarily causes dehydration and electrolyte disturbances from persistent vomiting, so the most appropriate treatment is restoring intravascular volume with IV fluid replacement. Giving isotonic fluids (like normal saline or lactated Ringer’s) helps rehydrate the patient, improve perfusion, and correct electrolyte imbalances, which is the first essential step in stabilizing both the mother and the pregnancy. Once fluids are underway, antiemetics and nutritional support are added as needed, and additional measures (like thiamine before glucose) may be used to prevent complications. The other options don’t address the main issue: they either don’t treat dehydration (EKG monitoring), are unrelated to the condition (delivery by cesarean section), or are not the primary, appropriate initial treatment (benzodiazepines).

Hyperemesis gravidarum primarily causes dehydration and electrolyte disturbances from persistent vomiting, so the most appropriate treatment is restoring intravascular volume with IV fluid replacement. Giving isotonic fluids (like normal saline or lactated Ringer’s) helps rehydrate the patient, improve perfusion, and correct electrolyte imbalances, which is the first essential step in stabilizing both the mother and the pregnancy. Once fluids are underway, antiemetics and nutritional support are added as needed, and additional measures (like thiamine before glucose) may be used to prevent complications. The other options don’t address the main issue: they either don’t treat dehydration (EKG monitoring), are unrelated to the condition (delivery by cesarean section), or are not the primary, appropriate initial treatment (benzodiazepines).