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Nursing Assessment for Hyperemesis Gravidarum

Nursing Assessment for Hyperemesis Gravidarum

Nursing Care Plan for Hyperemesis Gravidarum : Nursing Assessment for Hyperemesis Gravidarum

1. Main complaint:
  • Severe vomiting
  • Nausea, vomiting in the morning and after meals
  • Epigastric pain
  • Feeling thirsty
  • No appetite
  • Vomiting of food / liquid acid

2. Predisposing factors
  • Maternal age <20 years
  • Multiple gestation
  • Obesity
  • Trophoblastic Disease

3. Physical Examination
  • Metabolic acidosis is characterized by headache, disorientation
  • Tachycardia, hypotension, vertigo
  • Conjunctival jaundice
  • Impaired consciousness, delirium

Signs of dehydration:
  • Dry skin, mucous membranes dry lips
  • Slow return of skin turgor
  • Sunken eyelids
  • Weight loss
  • Increase in body temperature
  • Oliguria, ketonuria
  • Concentrated urine

Laboratory data:
  • Proteinuria
  • Ketonuria
  • Urobilinogen
  • Decreased levels of potassium, sodium, chloride, and protein
  • Decreased levels of vitamin
  • Increased Hb and Ht
Nursing Diagnosis for Hyperemesis Gravidarum