Nursing Care Plan Placenta Previa
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ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION Subjective: “Bigla na lang akong dinugo (I’m bleeding)” as verbalized by the patient. Objective: Changes in fetal heart rate or fetal activity. Release of meconium. Impaired fetal gas exchange related to altered blood flow and decreased surface area of gas exchange at site of placental detachment. Placenta previa is the development of placenta in the lower uterine segment, partially or completely covering the internal cervical os. The cause is unknown, but a possible theory states that the After 8 hours of nursing intervention s, the patient will verbalize understandin g of causative factors and appropriate Intervention s. Independent: Assess vital signs (pulse, respirations, and blood pressure every 15 minutes). Maintain bed rest or chair rest when indicated. Provide frequent rest periods and uninterrupted night time sleep. Monitor amount and type of bleeding. .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 After 8 hours of nursing intervention s, the patient was able to verbalize understandin g of causative factors and appropriate intervention s
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Transcript of Nursing Care Plan Placenta Previa
ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATIONSubjective:“Bigla na langakong dinugo (I’mbleeding)” asverbalized by thepatient.Objective:Changes infetal heartrate or fetalactivity.Release ofmeconium.
Impaired fetal gasexchange relatedto altered bloodflow anddecreasedsurface area ofgas exchange atsite of placentaldetachment.
Placenta previais thedevelopment ofplacenta in thelower uterinesegment,partially orcompletelycovering theinternal cervicalos. The causeis unknown, buta possibletheory statesthat the embryowill implant inthe loweruterinesegment if thedeciduas in theuterine fundusis notfavorable.Complicationsare immediatehemorrhage,
After 8 hours ofnursinginterventions,the patient willverbalizeunderstanding ofcausative factorsand appropriateInterventions.
Independent:Assess vital signs(pulse,respirations, andblood pressureevery 15minutes).Maintain bed restor chair rest whenindicated. Providefrequent restperiods anduninterruptednight time sleep.
Monitor amountand type ofbleeding.
Position motheron her left side.
Restrict vaginalexamination.
Monitor uterinecontractions and
.Providesbaseline dataon maternalblood loss.
Systemic rest ismandatory andimportantthroughout allphases ofdisease toreduce fatigue,and improvestrength.Provideobjectiveevidence ofbleeding.To promoteplacentalperfusion.Preventstearing ofplacenta ifplacenta previais the cause ofbleeding.Assess whether
After 8 hours ofnursinginterventions, thepatient was ableto verbalizeunderstanding ofcausative factorsand appropriateinterventions
shock, andmaternal death;fetal mortality;and postpartum hemorrhage.
fetal heart rate byexternal monitor.Maintain positiveattitude towardabout fetal outcome.
Collaborative:Administeroxygen asindicated.
labor is presentand fetal statusand externalsystem avoidscervical trauma.Supportsmother andchild bonding.
Providesadequate fetaloxygenationdespite ofloweredmaternalcirculatingvolume.
