GTPAL stands for Gravidity (number of pregnancies including current), Term (number of pregnancies

carried to 37+ weeks), Preterm (number of pregnancies carried between 20 and 36.6 weeks ),
Abortion (number of losses prior to 20 weeks), and Living (number of living children)

Tell me about your patient.

- So the patient name is Pamela Barth, a 17 year old G1 P1, she is transferred in post-partal
service following the birth of a 9lb(pound) 4oz(ounce) infant boy. She is in vaginal bleeding is so
heavy saturating perineal pad every 20 minutes.

What is the medical diagnosis of the patient?

- Mild uterine Antony

What is uterine Atony?

- A complication after the delivery of the mother which is a failure of the uterus contract after
delivery which is a life threatening, cause by post-partum hemorrhage.

What are the cause of uterine atony?

- Prolonged labor
- Rapid labor
- The use of oxytocin or other drugs or general anesthesia during labor
- Enlargement of the uterus

How to prevent uterine atony?

- Taking prenatal vitamins like iron supplements to help prevent anemia and other complications
after delivery.
- Folic acid to help the infant the growth and the development.

What is oxytocin?

- Use to activate the oxytocin receptors so that it can give pressure, it can strengthen the uterine
contraction for the delivery.

What is your nursing care plan.

 CLUSTERED NURSING RATIONALE OUTCOME NURSING RATIONALE EVALUATION
CUES DIAGNOSIS CRITERIA INTERVENTION
S
The The patient The After 8 First is to assess
The blood After 8 hours the
Subjective: diagnosed from postpartum hours the and document loss and the patient is able to:
“Should I be the uterine hemorrhage patient is the amount of existence of
bleeding this agotty one of can cause of able to: bleeding count the blood Manifest the improved
much? as the decreasing and weigh the clots will fluid balance by the
what the pathophysiolog fluid She need to perineal pads help to lochial flow in the
patient said. y of postpartum volume, and have a and save blood determine perineal pad per hour
hemorrhage. it can lead normal clots to be the and obtain a
The to result of evaluated by appropriate hemoglobin level of
Objective: dehydration. her the physician. displacement 12g/dl
Blood loss is hemoglobin for the
750 ml level of Need to monitor patient’s
12g/dl, the the vital signs need.
Temperature: vital signs specifically the
98.6F must be blood pressure, Increasing of
Blood stable and pulse and heart the heart
she needs rate. rate can be
Blood to have a result of
Pressure: lochial flow Administer decrease of
100/60 less than uterotonic fluid volume
one agents and that will
Heart Rate: saturated medications as change the
100bpm perineal prescribed by blood
pad per the physician. pressure.
Respiratory hour.
Rate: The agent
22bpm (uterotonic
agent) to
Hemoglobin: control the
8.9g/dl postpartum
hemorrhage.
Uterus:
Boggy Uterus Oxytocin
used to
prevent and
one of the
treatments
for PPH, to
decrease the
blood flow
through the
uterus after
delivery.