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    OB Bess

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    Kate Santos
    This document discusses 7 common bleeding disorders that can occur during pregnancy: abortion, ectopic pregnancy, hydatidiform mole, incompetent cervix, placenta previa, abruptio placentae, and preterm labor. For each disorder, the document describes the condition, potential assessment findings, and important nursing considerations for monitoring symptoms and complications. It provides an overview of bleeding disorders pregnant women may experience and highlights key factors for nurses to assess and address in patient care.

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    OB Bess

    Uploaded by

    Kate Santos
    12 views4 pages
    This document discusses 7 common bleeding disorders that can occur during pregnancy: abortion, ectopic pregnancy, hydatidiform mole, incompetent cervix, placenta previa, abruptio placentae, and preterm labor. For each disorder, the document describes the condition, potential assessment findings, and important nursing considerations for monitoring symptoms and complications. It provides an overview of bleeding disorders pregnant women may experience and highlights key factors for nurses to assess and address in patient care.

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    This document discusses 7 common bleeding disorders that can occur during pregnancy: abortion, ectopic pregnancy, hydatidiform mole, incompetent cervix, placenta previa, abruptio placentae, and preterm labor. For each disorder, the document describes the condition, potential assessment findings, and important nursing considerations for monitoring symptoms and complications. It provides an overview of bleeding disorders pregnant women may experience and highlights key factors for nurses to assess and address in patient care.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    12 views4 pages

    OB Bess

    Uploaded by

    Kate Santos
    This document discusses 7 common bleeding disorders that can occur during pregnancy: abortion, ectopic pregnancy, hydatidiform mole, incompetent cervix, placenta previa, abruptio placentae, and preterm labor. For each disorder, the document describes the condition, potential assessment findings, and important nursing considerations for monitoring symptoms and complications. It provides an overview of bleeding disorders pregnant women may experience and highlights key factors for nurses to assess and address in patient care.

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    of 4

    JULACDON, RHEA MAE M.

    BSN 2-A

    Bleeding Disorders in Pregnancy


    Complication Description Assessment Findings Nursing
    Considerations

    1. Abortion The expulsion of a fetus from  Bright red vaginal  Monitor the VS
    the uterus before it has reached bleeding  Assess the patient for
    the stage of viability (in human  Pain and cramps bleeding, amniotic fluid,
    beings, usually about the 20th  Backache and passage of
    week of gestation) pregnancy tissue
     Assess and manage pain
    2. Ectopic Implantation of products of  Lower abdominal pain  Monitor the VS
    Pregnancy conception in a site other  Vaginal bleeding or  Monitor for the presence
    than the uterine cavity spotting and amount of vaginal
    (e.g., fallopian tube, ovary,  Referred shoulder pain bleeding
    cervix, or peritoneal cavity)  Monitor for increased
    pain, abdominal
    distension, and rigidity

    3. Hydatidiform A rare mass growth that forms  Pelvic pressure or pain  Teach deep breathing
    Mole inside the womb (uterus) at the  Dark brown to bright red techniques to alleviate
    beginning of a pregnancy bleeding from the vagina pain
     Check for abdominal
    pain, and assess the
    abdominal area for signs
    of internal bleeding
    4. Incompetent Occurs when your cervix opens,  Regular uterine cramps or  Inspect and save pads
    Cervix weakens, or shortens too early contractions used by the patient
    in pregnancy  Increased pelvic pressure during bleeding
     Vaginal spotting or  Assess for vaginal
    bleeding discharge; note volume,
    color, and consistency
     Encourage patient to
    decrease physical
    activity, avoid exercise
    and intercourse and take
    frequent breaks

    5. Placenta Occurs when a pregnant  Bright red vaginal  Monitor the amount and
    Previa woman’s placenta blocks the bleeding (mild to profuse) type of bleeding
    opening to the cervix that allows  Relaxed soft uterus NON-  Monitor uterine
    the baby to be born tender contractions and fetal
    heart rate with the
    external monitor
    6. Abruptio Abruptio placentae, or placental  Vaginal bleeding  Assess and monitor
    Placenta abruption, is when the placenta  Back pain vaginal bleeding
    partially or completely detaches  Abdominal pain  Assess the abdomen for
    prematurely from the uterus,  Uterine contractions uterine tenderness and
    causing a risk of hemorrhage contractions
     Monitor the VS
     Assess and manage pain
    7. Preterm Preterm labor occurs between  Vaginal spotting or light  Assess the patient’s vital
    Labor the ages of 20- and 37- weeks’ bleeding signs
    gestation. Preterm labor is  Frequent contractions  Auscultate lung sounds
    classified as either early or late  Pelvic Pressure and investigates reports
    preterm. Early preterm labor of dyspnea and/or chest
    occurs before 33 weeks of tightness.
    pregnancy, while late preterm  Measure intake and
    labor occurs between 34 and 36 output
    weeks of pregnancy
    References

    Marks, J. L. (2021, November 2). What Is Abortion? Purpose, Risks, Preparation, Recovery. EverydayHealth.com.

    https://www.everydayhealth.com/abortion/guide/

    World Health Organization. (2021, November 25). Abortion. World Health Organization. https://www.who.int/news-room/fact-

    sheets/detail/abortion

    MN, D. J. A. R. (2014, March 21). Nursing Care Plan – Ectopic Pregnancy. Nursing Crib. https://nursingcrib.com/nursing-care-

    plan/nursing-care-plan-ectopic-pregnancy/

    Ghassemzadeh, S., & Kang, M. (2020). Hydatidiform Mole. PubMed; StatPearls Publishing.

    https://www.ncbi.nlm.nih.gov/books/NBK459155/

    PHN, A. C. R., BSN. (2022, June 15). Cervical Insufficiency Nursing Diagnosis and Nursing Care Plan. NurseStudy.net.

    https://nursestudy.net/cervical-insufficiency-nursing-diagnosis/
    MN, D. J. A. R. (2008, June 26). Nursing Care Plan – Placenta Previa. Nursing Crib.

    https://nursingcrib.com/nursing-care-plan/nursing-care-plan-placenta-previa/

    R.N, M. V., BSN. (2012, February 29). 4 Placenta Previa Nursing Care Plans. Nurseslabs. https://nurseslabs.com/placenta-previa-

    nursing-care-plans/

    Schmidt, P., & Raines, D. A. (2018, October 27). Placental Abruption (Abruptio Placentae). Nih.gov; StatPearls Publishing.

    https://www.ncbi.nlm.nih.gov/books/NBK482335/

    R.N, M. V., BSN. (2016, September 19). 7 Preterm Labor Nursing Care Plans. Nurseslabs. https://nurseslabs.com/preterm-labor-

    nursing-care-plans/3/

    Vrishali Suman, & Luther, E. E. (2019, January 14). Preterm Labor. Nih.gov; StatPearls Publishing.

    https://www.ncbi.nlm.nih.gov/books/NBK536939/

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