Scribd
Upload
122 views2 pages

Nursing Diagnosis for Uteroplacental Issues

The patient presented with moderate bleeding and severe lower back pain radiating to the abdomen with rapid uterine contractions. Her vital signs were stable and the fetal heart rate was normal. The nursing diagnosis was altered uteroplacental tissue perfusion related to maternal bleeding secondary to abruption placenta. Long term goals included establishing trust and promoting coping skills. Short term goals were to monitor vital signs, admit the patient, and provide comfort measures. The goals were met as pain decreased and the patient delivered a healthy baby boy.

Uploaded by

Ryann Buaya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
122 views2 pages

Nursing Diagnosis for Uteroplacental Issues

The patient presented with moderate bleeding and severe lower back pain radiating to the abdomen with rapid uterine contractions. Her vital signs were stable and the fetal heart rate was normal. The nursing diagnosis was altered uteroplacental tissue perfusion related to maternal bleeding secondary to abruption placenta. Long term goals included establishing trust and promoting coping skills. Short term goals were to monitor vital signs, admit the patient, and provide comfort measures. The goals were met as pain decreased and the patient delivered a healthy baby boy.

Uploaded by

Ryann Buaya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

DEFINING NURSING PLANNING INTERVENTIO RATIONALE EVALUATIO

CHARACTERISTIC DIAGNOSIS N N
S
Subjective: Altered Long Term: Independent To establish Goals met as
“Moderate Uteroplacenta After 8 : evidenced by
trust and decreased
bleeding and l Tissue hours of -Establish
promote abdominal
severe pain on Perfussion nursing rapport pain
lower back related to interventio nurse-client and was able
radiating to -Provide to delivered
maternal n the
abdomen with comfort relationship live baby boy.
bleeding patient has
rapid uterine
secondary to stable vital measures such -To enhance
contractions”
abruption signs and as
complained by coping skills
the patient. placenta, as the baby and
relaxation and
Objective: evidence by has a stable
vaginal fetal heart breathing decrease
- pale and poor
bleeding, rate. feelings
skin turgor techniques.
- moderate abnormal Short of fear,
bleeding uterine Term: -Monitor the tension,
contractions, vital signs of
-abnormal After 4 the client and pain.
abdominal
uterine hours of
pain and -To detect
contractions -Admit the
changes in nursing patient and
fetal heart abnormalities
perform in
rate. interventio
close
n the
monitoring order to
patient will for both the initiate
be mother and treatments.
the baby.
able to -Decrease in
Dependent:
verbalize fetal activity
- D5LRS 1/L is
given by the may mean
the rate of fetal
doctor
pain compromise
- Hydralazine
5mg IV is given or distress,
in her
by the doctor which
abdomen
- Magnesium requires
and Sulfate 4g is immediate
medical
shoulder. prescribed by
attention and
the doctor. monitoring
through
hospitalizatio
n

You might also like