COMPLICATIONS OF PREGNANCY
Being aware of conditions that can cause complications in pregnant women will
be an asset to you, as a practical nurse, in your knowledge and skills in providing care
to the patient. Complications of pregnancy can be an emotional crisis to a patient and
her support person. Prenatal care allows for early identification and management of a
patient with complications.
NAUSEA AND VOMITING
a. One of the first discomforts experienced in pregnancy, which generally occurs
in the morning is nausea and vomiting. It is attributed to the great hormonal changes
during the early stages of pregnancy.
b. Nursing interventions consist of advising the patient:
To eat small, frequent meals instead of three large meals.
To drink liquids (such as 7-UpTM or ginger ale) between meals instead
of with meals.
To eat a few crackers or toast before getting out of bed in the morning.
(4) That the nausea and vomiting should subside in the second trimester of
pregnancy, but if not, she MUST report this condition to her health care provider.
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:
Record accurate intake and output to include emesis.
Monitor intravenously (IV) solutions ordered by the physician.
Record the patient's weight daily.
Assess the patient for skin damage if dehydration is obvious.