-tell the mother that the neonate’s survival depends primarily ongestational age, the amount of blood lost, and associated hypertensivedisorders-assure her that frequent monitoring and prompt management greatlyreduce the risk of death.-encourage the patient and her family to verbalize their feelings-help them to develop effective coping strategies, referring them for counseling if necessary.
Goals of Care:
1.blood loss is minimized, and lost blood is replaced to prevent ischemic necrosis of distal organs, including kidneys2.DIC is prevented or successfully treated.3.normal reproductive functioning is retained4.the fetus is safely delivered5.the woman retains a positive sense of self-esteem and self-worth.
Additional lab results:
Fibrin degradation products -
Other possible nursing diagnosis:
Impaired gas exchange: fetal related to insufficient oxygen supply secondary to premature separation of the placenta.
Pain related to bleeding between the uterine wall and the placenta secondary to premature separation of the placenta.
Fear related to perceived or actual grave threat to body integrity secondary toexcessive bleeding and threat to fetal survival.
Grieving related to actual or threatened loss of infant.
Powerlessness related to maternal condition and hospitalization.
Risk for deficient fluid volume related to excessive losses secondary to premature placental separation.