Concept Map 8 6j6c1

Kalawanti Singh Professor Buckle

TOPIC

4/3/12

Placenta Previa

RISK FACTORS Hx of C-section, advanced maternal age (35-40), multiparity, Hx of suction curettage, and smoking.

COMPLICATIONS

NURSING DIAGNOSIS

NURSING DIAGNOSIS

Deficient fluid volume r/t excessive blood loss secondary to placenta previa.

Risk for maternal or fetal injury r/t the recurrence of preterm labor.

SIGNS & SYMPTOMS

SIGNS & SYMPTOMS

Painless, bright-red vaginal bleeding during the second or third trimester.

Preterm labor and birth.

EARLY-----------------LATE

Light to heavy bleeding or spotting in the beginning of 3 trimester, bleeding may stop but reappear and there may be contractions with the bleeding.

NURSING INTERVENTIONS 1)Teach the woman & partner how to monitor uterine contraction activity daily to provide immediate evidence of a worsening condition.2)Teach pt to report ROM, vaginal bleeding, cramping, pelvic pressure, or low back ache to H because such symptoms are signs of labor.

NURSING INTERVENTIONS Monitor blood loss: estimate and record blood loss on pads, obtain HCT &Hbg, maintain a type and screen in the hospital blood bank.

OUTCOMES 1)Patient did not develop any complications r/t bleeding. 2) Woman demonstrates the ability to assess self for signs of recurring labor; maternal-fetal well-being is maintained.