NCP - PDMMC
NCP - PDMMC
*Release of meconium. *V/S taken as follows: T: 36.9 P: 96 R: 22 Bp: 100/80 DIAGNOSIS Impaired fetal gas exchange related to altered blood flow and decreased surface area of gas exchange at site of placental detachment INFERENCE Placenta previa is the development of placenta in the lower uterine segment, partially or completely covering the internal cervical. The cause is unknown, but a possible theory states that the embryo will implant in the lower uterine segment if the deciduas in the uterine fundus is not favorable. Complications are immediate hemorrhage, shock, and PLANNING After 8 hours of nursing interventions, the patient will verbalize understanding of causative factors and appropriate interventions. INTERVENTION Independent: Assess vital signs (pulse, respirations, and blood pressure every 15minutes). Maintain bed rest or chair rest when indicated. Provide frequent rest periods and uninterrupted night time sleep. Monitor amount and type of bleeding. Position mother on her left side. Provides baseline data on maternal blood loss. Systemic rest is mandatory and important throughout all phases of disease to reduce fatigue, and improve strength. Provide objective evidence of bleeding. To promote placental perfusion. RATIONALE EVALUATIO N .
After 8 hours of nursing interventions, the patient was able to verbalize understanding of causative factors and appropriate interventions
is the cause of bleeding. Assess whether labor is present and fetal status and external system avoids cervical trauma. Supports mother and child bonding.
Maintain positive attitude toward about fetal outcome Collaborative: Administer oxygen as indicated