ACTIVE LEARNING TEMPLATE: Diagnostic Procedure

Tommie A Waiters
STUDENT NAME______________________________________
Uterine Curette (D&C)
PROCEDURE NAME_____________________________________________________________________ REVIEW MODULE CHAPTER____________

Description of Procedure
The patients cervix will be dilated by inserting metal dilators of bigger size into the patients
cervical, the curettes are used to scrape or remove endometrial tissue. The patients tissue
histology will be evaluated by pathologist and results will be recorded

Indications CONSIDERATIONS

- It will prevent some blood loss/and some

postpartum hemorrhage r/t uterine atony
when others.
- The providers interventions have failed to
contract the uterus.
- The treatment of a patients heavy bleeding
and uterine bleeding, dysmenorrhea, and an
incomplete abortion retained within the POC
Nursing Interventions (pre, intra, post)
Pre- Obtain preop VS. Ensure informed
consent, NPO status. Provide comfort
measures and reassurance.
Intra-Admin preop analgesics,
anti-prostaglandins, laxative and enema as
ordered. Monitor VS.
Post- Assess for s/s of infection,
hemorrhage, perforation, and adhesions.

Interpretation of Findings
Client Education
- Hemostasis after L&D - The patient will be instructed in the proper procedure and
- decreased uterine bleeding the proper indications
- normal blood loss with menstruation - The patient should be NPO after midnight before any
procedure is conducted
- Could be used to detect uterine malignancy - Patient should report any pain experience related to mild
- evaluate fertility cramps, backache,
- evaluate dysfunctional uterine bleeding. - Report the passing of any clots for up to 3 days postop
related to vaginal bleeding for up to several weeks.
- Good perineal hygiene, pelvic rest, follow-up appointment

Potential Complications Nursing Interventions

- patient could have Bleeding concerns
- possible hemorrhage
- bad lacerations to cervix or uterus
- serious infection,
- perforation of the patients uterine wall,
bowel and/or bladder adhesions, pain
The nurse will Administer a postop analgesics for
pain, the patien will receive stool softener per orders.
- Monitor for infection, any hemorrhage, perforation of
the walls, adhesions.
- Report any abnormal findings to the Provider.
- make sure to push forward any maternal-newborn
bonding for postpartum mother and baby to build a
bond.

ACTIVE LEARNING TEMPLATES Therapeutic Procedure  A3