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1. Hyperemesis severe nausea and vomiting in pregnancy that can cause severe dehydration in
gravidarum the mother and fetus
2. preclampsia abnormal condition associated with pregnancy marked by high blood pressure
proteinuria, edema, and placental abruption.
3. What does The fetus may have poor placental perfusion and oxygenation that leads to a small
preclampsia lead for gestational age infant.
to?
4. Risk factors of hy- 0.3-2% of all pregnancies
peremesis gravi- elevated hCG
darum thyroid stimulation
elevated estradiol levels
5. signs and symp- vomiting
toms of hy- poor appetite
peremesis gravi- weightloss
darum dehydration
concentrated urine
alkaloids from loss of hydrochloric acid
6. hyperemesis acupuncture
gravidarum acupressure during first trimester
medical care vitamin B6 10-20mg TID
Doxylamine 12.5 mg TID
GINGER CAPSULES 250 MG QID
7. meds for se- Metoclopramide
vere hyperemesis 5-10 mg q8H
gravidarum
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, Safe Maternity and Pediatric Nursing Care Second Edition
Study online at https://quizlet.com/_f7d74j
Promethazine
12.5mg po or rectal q4H
Dimenhydrinate
50-100 mg q4-6H
Ondansetron
4-8 mg oral or IV Q8H
8. hyperemesis cBc
gravidarum Labs ketones (found in urine when body breaks down fats instead of carbohydrates for
energy; high levels of ketones indicate dehydration or insufficient food intake)
liver enzymes
9. nursing care give fluids and antiemetics
for hyperemesis watch labs and report abnormalities
gravidarum monitor for weight loss
meet psychosocial needs
refer to appropiate resources
allow time to listen to patient
10. hyperemesis eat small meals, avoid spicy, fatty foods
gravidarum avoid strong smelling foods
Patient teaching maintain fluid intake
monitor for signs of dehydration
11. HYPEREMESIS dark urine
GRAVIDARUM bloody vomit
notify provider of abdominal pain
these signs: dehydration
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