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    Incompetent NCP

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    Mina Racadio
    The patient is at risk for premature cervical dilation and maternal injury. Nursing goals are for the patient to experience no vaginal bleeding after 8 hours of intervention. Interventions include closely monitoring vital signs for changes indicating infection or shock, noting presence of vaginal bleeding, leaking fluid or contractions, and notifying the physician of any abnormal findings or signs of labor. The evaluation found that after 8 hours of nursing intervention, the patient had no vaginal bleeding, meeting the goal.

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    Incompetent NCP

    Uploaded by

    Mina Racadio
    117 views1 page
    The patient is at risk for premature cervical dilation and maternal injury. Nursing goals are for the patient to experience no vaginal bleeding after 8 hours of intervention. Interventions include closely monitoring vital signs for changes indicating infection or shock, noting presence of vaginal bleeding, leaking fluid or contractions, and notifying the physician of any abnormal findings or signs of labor. The evaluation found that after 8 hours of nursing intervention, the patient had no vaginal bleeding, meeting the goal.

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    80330306 Incompetent NCP

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    The patient is at risk for premature cervical dilation and maternal injury. Nursing goals are for the patient to experience no vaginal bleeding after 8 hours of intervention. Interventions include closely monitoring vital signs for changes indicating infection or shock, noting presence of vaginal bleeding, leaking fluid or contractions, and notifying the physician of any abnormal findings or signs of labor. The evaluation found that after 8 hours of nursing intervention, the patient had no vaginal bleeding, meeting the goal.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    117 views1 page

    Incompetent NCP

    Uploaded by

    Mina Racadio
    The patient is at risk for premature cervical dilation and maternal injury. Nursing goals are for the patient to experience no vaginal bleeding after 8 hours of intervention. Interventions include closely monitoring vital signs for changes indicating infection or shock, noting presence of vaginal bleeding, leaking fluid or contractions, and notifying the physician of any abnormal findings or signs of labor. The evaluation found that after 8 hours of nursing intervention, the patient had no vaginal bleeding, meeting the goal.

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    Assessment Diagnosis Nursing Planning Interventions Rationale Evaluation

    Implication
    Risk for Premature Goals: Independent: After 8 hours of
    Cues: nursing intervention,
    Maternal Injury cervical dilation
    After 8 hours of 1. Monitor vital Changes in vital signs the patient have no
    Subjective: related to previously termed nursing intervention, signs closely (e.g., elevated temperature vaginal bleeding.
    “Nakikita ko may premature as incompetent the patient will or pulse, decreasing BP)
    kasamang dugo cervical dilation cervix refer in a experience no vaginal may indicate infection or Goal was met.
    sa napkin ko pag- bleeding. shock
    ihi ko” as as manifested cervix that dilates
    verbalized by the by threatened prematurely and Vaginal bleeding other
    2. Note presence of
    client abortion therefore cannot vaginal bleeding, leaking than slight spotting may be
    amniotic fluid, or uterine sign of cervical dilatation.
    hold a fetus until
    Objective: contraction Leaking membranes may
    term that increase herald impending delivery
    - blood in urine
    -G4P0 (0210) the risk to the and place client at greater
    mother injury risk for infection.
    V/S taken as
    follows: “Maternal & child
    Prompt intervention
    health 3. Notify physician
    lessens likelihood of
    T: 36.7 nursing: care of abnormal findings or
    P: 110 complications
    of the signs of labor
    R: 21 childbearing
    Bp: 110/60 &
    The procedure is not done
    childrearing 4. Assess for if vaginal bleeding or
    family: presence of cramping is present, if
    Chapter 21 contraindications for membranes are ruptured, if
    pg. 563 by cerclage procedure cervical dilation greater
    Adelle
    than 3 cm occurs, or if the
    Pilliteri”
    diagnosis of cervical
    dysfunction is in question
    because situation has
    progressed and
    spontaneous
    abortion is inevitable.

    A cesarean birth may be


    planned if the suture is
    5. Review left intact, or the suture
    implication of cerclage may be removed, allowing
    procedure on outcome of a vaginal delivery. Note:
    delivery at term. Scar tissue may interfere
    with normal intrapartal
    cervical dilation and
    effacement

    A common side effect is


    maternal/fetal tachycardia;
    6. Monitor for side rare side effects include
    effects of drugs used to flushing, pulmonary

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