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4. Give the nursing process for Abruption Placenta.

Assessment Diagnosis Planning Intervention Evaluation


Subjective: After 8 hours of Independent:  After 8 hours of
Fluid deficiency related nursing intervention the  Assess the vital nursing
Bigla nalang akong to blood loss secondary patient will verbalize signs (BP,T,P,R) intervention the
dinugo “as verbalized to reduce in pain and  Monitor fetal patient will
by the patient” Disrupted placental heart rate verbalize reduce in
implantation  Monitor amount pain and bleeding
Objective: and type of has stopped .
bleeding
 Change in fetal  Position mother
heart rate or fetal on her left side.
activity  Encourage the
 Back pain patient to bed
 Abdominal pain rest.
 Vaginal bleeding  Administer
 Vital Signs vitamin K

T:36.9
P:96
R: 22
Bp:100/80

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