Hyperemesis
Gravidarum Nursing
Care Plan &
Management
Description
▪ Hyperemesis gravidarum is severe and excessive nausea
and vomiting during pregnancy, which leads to
electrolyte, metabolic, and nutritional imbalances in the
absence of the medical problems.
Aetiology
▪ The aetiology of hyperemesis gravidarum is obscure;
suggested causative factors include:
1. High levels of chg. in early pregnancy
2. Metabolic or nutritional deficiencies
3. More common in unmarried white women and first
pregnancies
4. Ambivalence toward the pregnancy or family-related
stress
5. Thyroid dysfunction
Pathophysiology
1. Continued vomiting results in dehydration and
ultimately deceases the amount of blood and nutrients
circulated to the developing foetus.
, 2. Hospitalization may be required for severe symptoms
when the client needs intravenous hydration and
correction of metabolic imbalance.
Assessment Findings
▪ Signs and symptoms occur during the first 16 weeks of
pregnancy and are intractable.
1. Clinical manifestations include:
▪ Unremitting nausea and vomiting.
▪ Vomitus initially containing undigested food, bile, and
mucus; later containing blood and material that
resembles coffee grounds
▪ Weight loss
2. Other common signs and symptoms include:
▪ Pale, dry skin
▪ Rapid pulse
▪ Fetid, fruity breath odour from acidosis
▪ Central nervous system effects, such as confusion,
delirium, headache, and lethargy, stupor, or coma.
Nursing Management
1. Promote resolution of the complication.
▪ Make sure that the client is NPO until cessation of
vomiting.
▪ Administer intravenous fluids as prescribed; they may be
given on an ambulatory basis when dehydration is mild.
▪ Measure and record fluid intake and output.
▪ Encourage small frequent meals and snacks once
vomiting has subsided.
▪ Administer antiemetics as prescribed.
2. Address emotional and psychosocial needs. Maintain a
non-judgmental atmosphere in which the client and family
can express concerns and resolve some of their fears.
Nursing Assessment
1. Main complaint:
▪ Severe vomiting
Gravidarum Nursing
Care Plan &
Management
Description
▪ Hyperemesis gravidarum is severe and excessive nausea
and vomiting during pregnancy, which leads to
electrolyte, metabolic, and nutritional imbalances in the
absence of the medical problems.
Aetiology
▪ The aetiology of hyperemesis gravidarum is obscure;
suggested causative factors include:
1. High levels of chg. in early pregnancy
2. Metabolic or nutritional deficiencies
3. More common in unmarried white women and first
pregnancies
4. Ambivalence toward the pregnancy or family-related
stress
5. Thyroid dysfunction
Pathophysiology
1. Continued vomiting results in dehydration and
ultimately deceases the amount of blood and nutrients
circulated to the developing foetus.
, 2. Hospitalization may be required for severe symptoms
when the client needs intravenous hydration and
correction of metabolic imbalance.
Assessment Findings
▪ Signs and symptoms occur during the first 16 weeks of
pregnancy and are intractable.
1. Clinical manifestations include:
▪ Unremitting nausea and vomiting.
▪ Vomitus initially containing undigested food, bile, and
mucus; later containing blood and material that
resembles coffee grounds
▪ Weight loss
2. Other common signs and symptoms include:
▪ Pale, dry skin
▪ Rapid pulse
▪ Fetid, fruity breath odour from acidosis
▪ Central nervous system effects, such as confusion,
delirium, headache, and lethargy, stupor, or coma.
Nursing Management
1. Promote resolution of the complication.
▪ Make sure that the client is NPO until cessation of
vomiting.
▪ Administer intravenous fluids as prescribed; they may be
given on an ambulatory basis when dehydration is mild.
▪ Measure and record fluid intake and output.
▪ Encourage small frequent meals and snacks once
vomiting has subsided.
▪ Administer antiemetics as prescribed.
2. Address emotional and psychosocial needs. Maintain a
non-judgmental atmosphere in which the client and family
can express concerns and resolve some of their fears.
Nursing Assessment
1. Main complaint:
▪ Severe vomiting
