Scribd
Upload
91 views

Placenta Previa2

After 8 hours of nursing interventions for a patient experiencing bleeding, the patient was able to verbalize understanding of the causes and appropriate interventions. The nursing interventions included assessing vital signs every 15 minutes, maintaining bed rest, monitoring the amount and type of bleeding, positioning the mother on her left side, restricting vaginal examinations, monitoring uterine contractions and fetal heart rate externally, and administering oxygen as needed. The causes of bleeding are unknown but possibly related to placenta previa or partial separation of the placenta. Complications can include immediate hemorrhage, shock, maternal death, fetal mortality, and postpartum hemorrhage.

Uploaded by

jl03
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
91 views

Placenta Previa2

After 8 hours of nursing interventions for a patient experiencing bleeding, the patient was able to verbalize understanding of the causes and appropriate interventions. The nursing interventions included assessing vital signs every 15 minutes, maintaining bed rest, monitoring the amount and type of bleeding, positioning the mother on her left side, restricting vaginal examinations, monitoring uterine contractions and fetal heart rate externally, and administering oxygen as needed. The causes of bleeding are unknown but possibly related to placenta previa or partial separation of the placenta. Complications can include immediate hemorrhage, shock, maternal death, fetal mortality, and postpartum hemorrhage.

Uploaded by

jl03
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

ASSESS MENT

INFERE NCE Subjective: Impaired After 8 Placenta Bigla na fetal gas hours of previa lang exchang nursing is the akong e related interventi develop dinugo (Im to ons, the ment of bleeding) altered patient placenta as blood will to in the verbalized flow and able lower by the decreas to patient. ed verbalize uterine Objective: surface understa segment , nding of yChanges area of gas causativ partially in fetal heart exchang e factors or e at and rate or complete site of appropri ly fetal placenta ate activity. covering interventi yRelease l the detachm ons. of internal meconium. ent. cervical yV/S os. The taken as cause follows: is T: 36.9 unknown P: 96 , but R: 22 Bp: 100/80 a possible theory states that the embryo will implant in the lower uterine segment if the deciduas in the uterine fundus is not favorabl e.

DIAGN OSIS

Objecti ves

PLANNI INTERVE NG NTION


After 8 hours of nursing interventi ons, the patient will verbalize understa nding of causativ e factors and appropri ate interventi ons. Independen t: yAssess vital signs (pulse, respirations , and blood pressure every 15 minutes). yMaintain bed rest or chair rest when indicated. Provide frequent rest periods and uninterrupt ed night time sleep. yMonitor amount and type of bleeding. yPosition mother on her left side. yRestrict vaginal examinatio n. yMonitor uterine contraction s and fetal heart rate by external monitor. yMaintain positive attitude toward

RATIO NALE
baseline data on maternal blood loss. ySystem ic rest is mandato ry and importan t througho ut all phases of disease to reduce fatigue, and improve strength. yProvide objective evidence of bleeding. yTo promote placental perfusion . yPreven ts tearing of placenta if placenta previa is the cause of bleeding. yAssess whether labor is present

EVALUA TION
After 8 hours of nursing interventio ns, the patient was able to verbalize understan ding of causative factors and appropriat e interventio ns.

Complic ations are immediat e hemorrh age, shock, and maternal death; fetal mortality; and post partum hemorrh age

about fetal outcome. Collaborativ e: yAdministe r oxygen as indicated.

and fetal status and external system avoids cervical trauma. ySuppor ts mother and child bonding Provides adequat e fetal oxygenat ion despite of lowered maternal circulatin g volume.

You might also like