Nursing Key outcomes, interventions, and Patient teaching Nursing Care Plans for Abruptio Placentae (placenta abruption)
Key outcomes Nursing Care Plans for Abruptio Placentae (placenta abruption) the patient will:
- Express feelings of comfort.
- Express feelings of reduced anxiety.
- Communicate feelings about the situation.
- Discuss fears and concerns.
- Use available support systems, such as family and friends, to aid in coping.
- Remain hemodynamically stable.
- Patient's fluid volume will remain within normal parameters.
- Monitor Vital sign; blood pressure, pulse rate, respirations, central venous pressure, intake and output, and amount of vaginal bleeding.
- Monitor fetal heart rate electronically.
- If vaginal delivery is elected, provide emotional support during labor.
- Because of the neonate's prematurity, the mother may not receive an analgesic during labor and may experience intense pain. Reassure the patient of her progress through labor, and keep her informed of the fetus's condition.
- Encourage the patient and her family to verbalize their feelings. Help them to develop effective coping strategies. Refer them for counseling, if necessary.
Patient teaching Nursing Care Plans for Abruptio Placentae (placenta abruption)
- Teach the patient to identify and report signs of placental abruption, such as bleeding and cramping.
- Explain procedures and treatments to allay patient's anxiety.
- Teach the patient to notify the doctor and come to the hospital immediately if she experiences any bleeding or contractions.
- Prepare the patient and her family for the possibility of an emergency cesarean delivery, the delivery of a premature neonate, and the changes to expect in the postpartum period. Offer emotional support and an honest assessment of the situation.
- Tactfully discuss the possibility of neonatal death. Inform the patient that the neonate's survival depends primarily on gestational age, the amount of blood lost, and associated hypertensive disorders.
- Inform the patient that frequent monitoring and prompt management greatly reduce the risk of death.
- Inform the patient that she is at much higher risk of developing abruptio placentae in subsequent pregnancies.
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