Health Promotion & Maintenance: Hyperemesis Gravidarum

Hyperemesis gravidarum is ________ and _______ vomiting that persists into the ______ trimester.

Severe and prolonged; 2nd trimester (normal vomiting should be fgone before 2nd trimester)

Give 3 possible causes of hyperemesis gravidarum.

Pancreatitis, multiple pregnancy, hydatidiform mole.

Has hyperemesis gravidarum ever been associated with mixed feelings about pregnancy?

Yes, increased incidence of it in women who are ambivalent about pregnancy.

What are the two most common complications of hyperemesis gravidarum?

Electrolyte imbalance (dehydration)l, starvation.

What is the initial diet order for clients with hypermesis gravidarum?

NPO

Why are doctors cautious in using antiemetics to treat hyperemesis gravidarum?

They don’t want to harm the fetus.

What are the instructions iven to clients recovering from hyperemesis gravidarum in relation to mealtime?

Remain seated upright for 45 minutes after each meal.

What is the biggest challenge in nursing care of the client with hyperemesis gravidarum?

Getting them to eat.