MCN2 Maternal Module 2 PDF
Document Details
Far Eastern University - Manila
2023
Faith Angelique D. Rebolledo, Sofiyah G. Dimananal
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Summary
This document is a module on nursing care of high-risk pregnant clients, specifically focusing on hemorrhagic disorders. It covers topics like bleeding during pregnancy, including abortion, ectopic pregnancy, and placenta previa, along with nursing processes and assessments.
Full Transcript
FAR EASTERN UNIVERSITY - MANILA Institute of Health Sciences and Nursing - Department of Nursing NUR1210: Care of Mother and Child at-risk or with Problem (Acute and Chroni...
FAR EASTERN UNIVERSITY - MANILA Institute of Health Sciences and Nursing - Department of Nursing NUR1210: Care of Mother and Child at-risk or with Problem (Acute and Chronic) or is developing hypovolemic shock MODULE 2 Process of shock due to blood loss Nursing Care of the (hypovolemia): High Risk Pregnant Client (Hemorrhagic Disorders in Pregnancy) Lecturer: Dr. Wilfredo Quijencio Source: PowerPoint, Published Module 2 (Canvas), Silbert-Flagg Pillitteri (8th Edition) Book Topic Outline: I. Bleeding during pregnancy A. Abortion B. Hydatidiform mole C. Ectopic pregnancy D. Premature dilatation of cervix E. Placenta previa F. Abruptio placenta G. Disseminated Intravascular Hypovolemic Shock S/S Coagulation Assessment Significance II. Nursing Process ↑ pulse rate heart attempting to circulate decreased blood I. VAGINAL BLEEDING volume - always abnormal, may occur at any ↓ blood less peripheral resistance point during pregnancy, and always pressure due to decreased blood frightening volume - it may be innocent, any degree of this during pregnancy is potentially ↑ respiratory increases gas exchange serious because it may mean that rate to better oxygenate the placenta has loosened, cutting decreased red blood cell volume off nourishment to the fetus - cause: undilated cervix and intact cold, clammy vasoconstriction occurs to membranes can contain blood within skin maintain blood volume in the uterus central body core - with any degree of bleeding, a ↓ urine output inadequate blood is women needs to be evaluated for entering kidneys due to the possibility that she is decreased blood volume experiencing a significant blood loss Faith Angelique D. Rebolledo Sofiyah G. Dimananal 2023 FAR EASTERN UNIVERSITY - MANILA Institute of Health Sciences and Nursing - Department of Nursing NUR1210: Care of Mother and Child at-risk or with Problem (Acute and Chronic) ↓ level of inadequate blood is consciousnes reaching cerebrum due to A. ABORTION s or dizziness decreased blood volume - expulsion before 20-24 weeks (age of viability) (20 weeks acc. to WHO), ↓ central decreased blood is