Hyperemesis Gravidarum
It is an intractable vomiting in pregnancy with resultant weight loss and dehydration
Nursing Care
- Assess vital signs
- Observe for signs of dehydration
- Review electrolytes
- Access IV site as ordered
- Record fetal heart tones
- Record intake and output
- Record daily weight
- Check urine for ketones
- Administer antiemetics as orderedPreterm Labor
Preterm Labor
It is an onset of regular labor before the 37th completed week of gestation.
Clinical Findings
- Rhythmic lower abdominal cramping
- Complaints of backache
- Increased vaginal discharge
- Downward pelvic pressure
- Leaking of amniotic fluid
- Vaginal spotting
- Cervical effacement/dilation
- Shortening cervical length
Nursing Care
- Determine gestational age
- Assess uterine tone
- Auscultate fetal heart tones and apply EFM
- Obtain vaginal/urine cultures
- Assess for leaking amniotic fluid: Ferning - Microscopically, amniotic fluid will resemble the leaves of a fern plant, and Nitrazine paper - Due to the alkaline nature of amniotic.
- fluid, the nitrazine paper will change from yellow to blue
- Perform vaginal exam to determine dilation and effacement of the cervix
- Position side-lying
- Initiate IV fluids as ordered
- Administer corticosteroid to mother: Accelerates maturity of fetal lungs AND Most benefit 24 hours after administered
- Initiate tocolytic therapy
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