PLACENTRA PREVIA

Occurs when a baby’s placenta partially or totally covers the mother’s cervix- the outlet
of the uterus.

CLINICAL MANIFESTATIONS

Bright red bleeding from the vagina during the second half of your pregnancy. It can
range 54from light to heavy, and it’s often painless.1212

Contractions along with the bleeding.

Cramping or tightening that comes with contractions, or feel pressure in back.

ABRUPTIO PLACENTA

Is an uncommon yet serious complications of pregnancy. The placenta develops in the

uterus during pregnancy. It attaches to the wall of the uterus and supplies the baby with nutrients and
oxygen.

CLINICAL MANIFESTATIONS

Vaginal bleeding

Abdominal pain

Back pain

Uterine Tenderness or rigidity

Uterine contractions, often coming one right after another

NURSING CARE PLAN

ABRUPTIO PLACENTA

ASSESSMEN DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

T
Subjective Acute pain related After an hour Examine the It is not After an hour
Data: to collection of of Nursing patient's pain uncommon of Nursing
Patient will blood between Intervention, score and the for changes in Intervention,
verbalize uterine wall and The patient's location of the location to the pain of
having placenta as pain will be pain. occur, but the patient
Abruptio evidenced by reduce using they may was reduced
Placenta cramps, muscle some specific indicate the using some
Objective: tensions and interventions. development specific
Pain score alteration in vital ‘ of interventions.
signs. complications.

Continuously Accurate
monitor the diagnosis of
mother's vital harmful
 signs as well as impacts
the fetal heart allows for
rate. more
effective
intervention
as soon as
Take note on possible.
the amount of
bleeding. When there
is unreported
bleeding, the
fundal height
Provide may enlarge.
comfort
measures such Relaxes the
as rubbing the muscles and
patient's back may help
and suggesting patients cope
that she lie better with
down in a their
position that symptoms by
she feels concentrating
comfortable their
in. attention.

PLACENTA PREVIA

ASSESSMENT DIAGNOSIS PLANNING INTERVENTIO RATIONALE EVALUATION

N
Subjective: Impaired After hours Assess vital This report After hours
Patient with gas of nursing signs provides of nursing
Placenta exchange intervention, baseline intervention,
Previa related to the patient information the patient
verbalizes decreased will express on maternal was able to
that she is blood flow his or her blood loss. express her
having some as evidence insight of insight og
bleeding. by bleeding. the Maintain bed In order to the
Objective: underlying rest. alleviate underlying
-Changes in factors and tiredness factors and
fetal heart the suitable and increase suitable
rate or fetal treatment. strength. treatment.
activity
-Release of It provides a
Meconium Monitor supporting
amount of information
bleeding regarding
the
 problem.

Position In order to
mother on her increase
left side. fetal
oxygenation.

Restrict Too avoid

vaginal further
examination problems on
the mother’s
placenta.

Externally To examine
monitor for labor,
uterine fetal state,
contractions and external
and fetal heart system to
rate. avoid
cervical
trauma.

If needed, give Provides

oxygen. appropriate
fetal
oxygenation
despite the
fact that the
maternal
blood flow
has been
decreased.