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
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