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Prenatal Hemorrhage Nursing Care Plans

This document discusses nursing care plans for managing prenatal hemorrhage. Prenatal hemorrhage can occur in the early or late stages of pregnancy due to physiological issues, with different signs and symptoms for determining diagnosis and care. Seven common nursing diagnoses are identified for prenatal hemorrhage: ineffective uteroplacental tissue perfusion, acute pain, deficient fluid volume, fear, deficient knowledge, risk for excess fluid volume, and risk of maternal injury. Specific nursing interventions are outlined for each diagnosis, such as assessing blood loss and fetal heart rate, instituting bed rest, and providing emotional support.

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Vincent Paul Santos
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1K views2 pages

Prenatal Hemorrhage Nursing Care Plans

This document discusses nursing care plans for managing prenatal hemorrhage. Prenatal hemorrhage can occur in the early or late stages of pregnancy due to physiological issues, with different signs and symptoms for determining diagnosis and care. Seven common nursing diagnoses are identified for prenatal hemorrhage: ineffective uteroplacental tissue perfusion, acute pain, deficient fluid volume, fear, deficient knowledge, risk for excess fluid volume, and risk of maternal injury. Specific nursing interventions are outlined for each diagnosis, such as assessing blood loss and fetal heart rate, instituting bed rest, and providing emotional support.

Uploaded by

Vincent Paul Santos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Prenatal hemorrhage happens due to certain physiological problems in the early or late stages of 

pregnancy, each with its


own signs and symptoms, which aids in determining a differential diagnosis and in formulating a care plan. This nursing care
plan focuses on managing hemorrhage during the prenatal period. Specific interventions are identified to address each
physiological problem as indicated.

Nursing Care Plans


Nurse care planning for a client with prenatal hemorrhage include assess maternal/fetal condition, maintain circulatory fluid
volume, assist with efforts to nurture the pregnancy, if possible, avoid complications, provide emotional support to the
client/couple, and provide knowledge on short- and long-term complications of the hemorrhage.

Here are seven (7) nursing care plans (NCP) and nursing diagnosis for prenatal hemorrhage:

 Ineffective [Uteroplacental] Tissue Perfusion


 Acute Pain
 Deficient Fluid Volume (Isotonic)
 Fear
 Deficient Knowledge 
 Risk for Excess Fluid Volume
 Risk of Maternal Injury

Ineffective [Uteroplacental] Tissue Perfusion


Nursing Diagnosis

 Ineffective Tissue Perfusion


May be related to

 Hypovolemia
Possibly evidenced by

 Changes in fetal heart rate/activity


Desired Outcomes

 Client will display improved tissue perfusion, as evidenced by fetal heart rate and activity within normal limit and
reactive non-stress test.
Nursing Interventions Rationale

Assess maternal physiological An abnormal bleeding episode may lead to


circulatory status complications in pregnancy such as
and blood volume. uteroplacental hypovolemia or hypoxia.

Auscultate and report FHR; Assesses degree of fetal hypoxia. Initial response of a
note bradycardia or fetus to decreased oxygenation is tachycardia and
tachycardia. Note change in increased movements. A further deficit will result in
hypoactivity or hyperactivity. bradycardia and decreased activity.

Note expected date of birth


Provides an estimate for identifying fetal viability.
(EDB) and fundal height.

Monitor and record maternal Excess maternal blood loss compromises


blood loss and uterine placental perfusion. If uterine contractions are
contractions. accompanied by cervical dilatation, bedrest and
medications may not be effective in maintaining the
pregnancy.

Institute strict bed rest in lateral Relieves pressure on the inferior vena cava and
position. enhances placental circulation and oxygen exchange.

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