Placenta previa system disorder PDF

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ACTIVE LEARNING TEMPLATE:

System Disorder

ST UDENT NAME _____________________________________

Placenta Previa DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention

the placenta implants over the cervical os. The exact cause of placenta previa is unknown. It is initiated by implantation of the embryo in the lower uterus, perhaps due to uterine endometrial scarring or damage in the uppe segment, which may incite placental growth in the unscarred lower uterine segment

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Advancing maternal age (more than 35 years) Previous cesarean birth, Multiparity, Uterine insult or injury, Cocaine use, Prior placenta previa,Infertility treatment, Multiple gestations, Previous induced surgical abortion, Smoking, Previous myomectomy to remove fibroids, Short interval between pregnancies, Hypertension or diabetes

Laboratory Tests

painless, bright-red vaginal bleeding (during the second/third trimester),

Diagnostic Procedures

(MRI) may be ordered when preparing for delivery because it allows identification of placenta accreta,increta, or percreta. complete blood count (CBC), coagulation studies, and Rh status if appropriate

validate the position of the placenta, a transvaginal ultrasound,

PATIENT-CENTERED CARE

Nursing Care Assess the client for uterine contractions, which may or may not occur with the bleeding. Palpate the uterus; typically it is soft and nontender on examination. Auscultate the fetal heart rate; it commonly is within normal parameters. Fetal distress is usually absent but may occur when cord problems arise.

Therapeutic Procedures Have client report pain Have client lay on side to increase placental perfusion. Allow woman to express her feelings. Provide books, movies, tv for distractions.

ACTIVE LEARNING TEMPLATES

Occurs in the last two trimesters It may cause serious morbidity and mortality to the fetus and mother. Blood typing and cross matching in the event of blood loss Avoid doing vaginal examinations in the woman with placenta previa because they may disrupt the placenta and cause hemorrhage.

Complications Medications Administer pharmacologic agents as necessary. Give Rh immunoglobulin if the client is Rh negative at 28 weeks’ gestation. Monitor tocolytic (anticontraction) medication if prevention of preterm labor is needed.

Client Education Support and education for the family including diagnostic proceudres that will be performed, majorly cesarean birth will be planned Provide information about the condition. Daily fetal kick counts.

Interprofessional Care

hemorrhage, abruption(separation) of the placenta, or emergency cesarean birth hysterectomy at delivery The woman must notify her health care provider about any bleeding episodes or backaches (may indicate preterm labor contractions) and must adhere to the prescribed bed rest regimen.

THERAPEUTIC PROCEDURE

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