ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Impaired fetal Placenta After 8 hours of Independent: After 8 hours

“Bigla na lang gas previa nursing Assess vital .Provides of
akong dinugo exchange interventions, signs baseline data nursing
is the
(I’m related the patient will (pulse, on maternal interventions,
development of blood loss.
bleeding)” as to altered blood verbalize respirations, and the
placenta in the
verbalized by the flow and understanding blood pressure patient was able
patient. decreased
lower uterine of every 15 to verbalize
Objective: surface area of segment, causative minutes). understanding of
Systemic rest
Changes in gas exchange at partially or factors Maintain bed is causative factors
fetal heart site of placental completely and appropriate rest mandatory and and appropriate
rate or fetal detachment. covering the Interventions. or chair rest when important interventions
activity. internal indicated. Provide throughout all
Release of cervical frequent rest phases of
meconium. os. The cause periods and disease to
is unknown, uninterrupted reduce fatigue,
but night time sleep. and improve
a possible strength.
theory states Monitor amount Provide
objective
that the and type of
bleeding. evidence of
embryo bleeding.
will implant in To promote
Position mother
the lower placental
on her left side.
uterine perfusion.
segment if the Restrict vaginal Prevents
deciduas in the examination. tearing of
uterine fundus placenta if
is not placenta previa
favorable. is the cause of
Complications Monitor uterine bleeding.
are immediate contractions and Assess
fetal heart rate by whether
hemorrhage,

This study source was downloaded by 100000851973975 from CourseHero.com on 09-13-2022 11:39:44 GMT -05:00
 shock, and external monitor. labor is present
maternal Maintain and fetal status
death; positive and external
fetal mortality; attitude toward system avoids
about fetal cervical trauma.
and post
outcome. Supports
partum mother and
hemorrhage. child bonding.

Collaborative: Provides
Administer adequate fetal
oxygen as oxygenation
indicated. despite of
lowered
maternal
circulating
volume.

This study source was downloaded by 100000851973975 from CourseHero.com on 09-13-2022 11:39:44 GMT -05:00
Powered by TCPDF (www.tcpdf.org)