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Questions and Answers
What is the main cause of hyperemesis gravidarum mentioned in the text?
What is the main cause of hyperemesis gravidarum mentioned in the text?
Which of the following is a common assessment sign of hyperemesis gravidarum according to the text?
Which of the following is a common assessment sign of hyperemesis gravidarum according to the text?
What is a likely consequence of vomiting in hyperemesis gravidarum on the growing fetus?
What is a likely consequence of vomiting in hyperemesis gravidarum on the growing fetus?
How should nursing management handle oral intake for a patient with hyperemesis gravidarum?
How should nursing management handle oral intake for a patient with hyperemesis gravidarum?
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Which gestational period is typically associated with the signs of hyperemesis gravidarum according to the text?
Which gestational period is typically associated with the signs of hyperemesis gravidarum according to the text?
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How should nursing management proceed regarding fluid administration for mild dehydration in hyperemesis gravidarum?
How should nursing management proceed regarding fluid administration for mild dehydration in hyperemesis gravidarum?
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What is a common metabolic cause of hyperemesis gravidarum as mentioned in the text?
What is a common metabolic cause of hyperemesis gravidarum as mentioned in the text?
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Which of the following is NOT listed as an assessment sign of hyperemesis gravidarum?
Which of the following is NOT listed as an assessment sign of hyperemesis gravidarum?
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What should be the initial content of vomitus in a patient with hyperemesis gravidarum according to the text?
What should be the initial content of vomitus in a patient with hyperemesis gravidarum according to the text?
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What is a potential consequence of dehydration due to vomiting in hyperemesis gravidarum for the growing fetus?
What is a potential consequence of dehydration due to vomiting in hyperemesis gravidarum for the growing fetus?
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What nursing intervention is advised when vomiting stops in a patient with hyperemesis gravidarum?
What nursing intervention is advised when vomiting stops in a patient with hyperemesis gravidarum?
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Which factor contributes to an increased incidence of hyperemesis gravidarum according to the text?
Which factor contributes to an increased incidence of hyperemesis gravidarum according to the text?
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Study Notes
Hyperemesis Gravidarum
- Severe nausea and vomiting during pregnancy leading to metabolic and nutritional imbalance
- Causes:
- Elevated levels of hCG early in pregnancy
- Metabolic and nutritional deficiencies
- Increased incidence in first pregnancies
- Ambivalent attitude towards the pregnancy
- Thyroid dysfunction
- Effects of vomiting:
- Dehydration
- Decreased amount of blood and nutrients to the growing fetus
Assessment
- Signs occur during 1st to 16th week of pregnancy
- Symptoms:
- Intractable nausea and vomiting
- Vomitus containing undigested food, vile, and mucus, followed by blood and coffee ground material
- Weight loss
- Pale and dry skin
- Rapid heart rate
- Foul-smelling breath due to acidosis
- Confusion
- Delirium
- Headache
- Lethargy
- Stupor
- Coma
Nursing Management
- No oral intake until vomiting stops
- Administer IV fluids, which may be given on an ambulatory basis for mild dehydration
- Record I and O
- Advise small, frequent meals when vomiting stops
- Administer anti-emetics to prevent vomiting
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Description
Learn about hyperemesis gravidarum, a condition characterized by severe nausea and vomiting during pregnancy, leading to metabolic and nutritional imbalance. Explore the causes, assessment, and effects on the growing fetus.
