Nursing Care Plan Placenta Previa 182ow

ASSESSMENT DIAGNOSIS 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.

INFERENCE 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 embryo will implant in the lower uterine segment if the deciduas in the uterine fundus is not favorable. Complications are immediate hemorrhage,

PLANNING

INTERVENTION RATIONALE

EVALUATION

After 8 hours of nursing interventions, the patient will verbalize understanding of causative factors and appropriate Interventions.

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.

• After 8 hours of nursing interventions, the patient was able to verbalize understanding of causative factors and appropriate interventions

• Monitor amount and type of bleeding. • Position mother on her left side. • Restrict vaginal examination.

• .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. • Prevents tearing of placenta if placenta previa is the cause of bleeding. • Assess

shock, and maternal death; fetal mortality; and post partum hemorrhage.

• Monitor uterine contractions and fetal heart rate by external monitor. • Maintain positive attitude toward about fetal outcome.

whether labor is present and fetal status and external system avoids cervical trauma. • s mother and child bonding.

Collaborative: • ister oxygen as indicated.

• Provides adequate fetal oxygenation despite of lowered maternal circulating volume.