Hyperemesis Gravidarum

Question 1

Excessive nausea and vomiting during pregnancy

Answer 1

Hyperremesis Gravidarum

Question 2

Hyperemesis Gravidarum causes

Answer 2

~Increased HCG
~ Hyperthyroidism
~ Hypofunction of the anterior pituitary gland and adrenal cortex
~ Abnormalities of the corpus luteum
~ Helicobacter pylori infection
~ Psychologic Factors
~ Increased estrogen and progesterone = ptyalism
~ Decreased motility

Question 3

Dehydration pathophysiology

Answer 3

DHN (dehydration present)

1.) Check for fluid and electrolyte imbalance alkalosis

2.) Results in hypovelemia, hypotension and tachycardia

3.) If left untreated then it’ll result in metabolic acidosis

Question 4

Assessment pt 1.

Answer 4

~ Monitor nausea and vomiting
~ Monitor I&O
~ Assess for jaundice and bleeding
~ Assess for increased hematocrit level
~ Test urine for any ketones
~ Assess for IUGR

Question 5

1.) Less than Body Requirements related to persistent vomiting secondary to hyperemesis

2.) Related to vomiting secondary to hyperemesis gravidarum

Answer 5

1.) Imbalanced Nutrition
2.) Risk for deficient fluid volume

Question 6

1.) Related to effects of hyperemesis or its treatment on fetal well being

2.) Related to stress of pregnancy or concurrent life events

Answer 6

1.) Fear

2.) Ineffective Coping

Question 7

Planning

Answer 7

•The woman will be able to explain hyperemesis gravidarum , its therapy and its possible effects on her pregnancy.

•The woman’s condition will be corrected and complications will be avoided.

•Client eats at least 2500 calories daily or receives supplemental nutrition intravenously or enterally.

Question 8

Implementation, Nursing Managment

Answer 8

~ Remember not to talk about food while you give care or to urge a woman to

~ Hot foods should be hot and cold foods should be cold

~ Serve small portions of food presented attractively

Question 9

Implementation, Therapeutic management

Answer 9

1.) Control of vomiting
2.) Correction of dehydration
3.) Restoration of electrolyte balance
4.) Maintenance of adequate nutrition

Question 10

How to control vomiting

Answer 10

~ Give antiemetics (Metoclopramide)
~ NPO

Question 11

How to correct dehydration

Answer 11

~ IV fluids (Ringers solution)
~ Measure I&O and include amount of vomitus

Question 12

Restore of electrolyte balance

Answer 12

Potassium chloride is typically added to the IV infusion

Question 13

Maintaining adequate nutrition

Answer 13

~ Replacement of Thiamine (Vit. B1) and Pyridoxine (Vit b6)

~ Woman may need total parenteral nutrition or enteral feeding

Question 14

Assessment part 2

Answer 14

Determine exactly how much N/V women are having during pregnancy