DIAGNOSTIC and LABORATORY STUDIES

Placenta previa is diagnosed through ultrasound, either during a routine prenatal appointment or after
an episode of vaginal bleeding. Most cases of placenta previa are diagnosed during a second trimester
ultrasound exam.

Laboratory Studies

The following laboratory tests are indicated in women with suspected placenta previa:

•Rh compatibility test

•levels of fibrin split products (FSP) and fibrinogen

•Prothrombin time (PT)/activated partial thromboplastin time (aPTT)

•Blood type and cross; hold for at least 4 units

•Complete blood cell (CBC) count

•Amniocentesis and fetal lung maturity testing, if necessary

NURSING CARE PLAN

ASSESSMENT

Objective:

• Dysrhythmia

• Pronlonged capillary refill

• Cold clammy skin

• Dyspnea

• Restlessness

• Variation in BP readings

NURSING DIAGNOSIS

• Decreased cardiac output related to altered contractility

SCIENTIFIC ANALYSIS

• Placenta Previa is the development of the placenta in the lower uterine segment, partially or
completely covering the internal cervical os. The cause is unknown, but a possible theory states that the
embryo will implant inthe lower uterine segment if the deciduas in the uterine fundus is not favorable

PLANNING

Short term:

• After 4 hours of nursing intervention, the pt will participate in activities that reduce the workload of
the heart

Long term:

• After 4 days of nursing intervention, the pt will manifest hemodynamic stability

NURSING INTERVENTION
• Establish rapport

• Monitor vital signs

• History taking

• Assess patient condition

• Review lab data

• Monitor BP & Pulse frequently

• Provide information on test procedures

• Provide adequate rest & Reposition client

• Encourage relaxation techniques

• Elevate Head of bed

• Encourage use of relaxation techniques

RATIONALE

• To gain patient's trust

• To obtain baseline data

• To determine contributing factors

• To assess contributing factors

• For comparison with current normal values

• To note response to activity

• To gain patient's participation

• To promote venous return

• To alleviate stress and anxiety

• To promote circulation

• To decrease tension level