Marites B.

Daus March 16, 2019

NCM 102 (Placenta Previa)

Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

Subjective: Deficient fluid After 4 hours of Establish rapport To gain patient’s After 4hours of
“Madami po dugo na volume related to nursing trust nursing
lumalabas sa vagina active blood loss interventions, the interventions, the
ko” secondary to patient will be able Monitor patient’s To obtain baseline patient verbalized
disrupted placenta to verbalize vital signs especially information awareness of
implantation awareness of BP and HR causative factors
causative factors
Objective: Assess color, odor To provide data
-Bright red After 2 days of consistency and about active After 2days of
-Painless nursing intervention, amount of vaginal bleeding versus old nursing intervention,
-Vaginal bleeding the patient will be bleeding; weigh blood, tissue loss the patient
-Soft, nontender able to pads and degree of blood demonstrated
abdomen
demonstrates loss lifestyle changes to
lifestyle changes to avoid progression of
avoid progression of Assess hourly intake To provide data dehydration
dehydration and output about maternal and
fetal physiological
compensation

Administer IV fluid To promote fluid

as prescribed using management
infusion pumps