a. Hyperemesis gravidarum refers to persistent severe nausea and vomiting which results in dehydration, ketouria, and possible weight loss.

The exact cause is unknown. If left untreated, it can cause fetal death.

b. Nursing implications include the following:

(1) Record accurate intake and output to include emesis.

(2) Monitor intravenously (IV) solutions ordered by the physician.

(3) Record the patient’s weight daily.

(4) Assess the patient for skin damage if dehydration is obvious.

(5) Implement prophylactic measures (lotions, massages, op-site) to prevent skin breakdown.

(6) Be alert to the psychological needs of the patient. She may be concerned about this crisis and of the results on herself and the fetus.