Está en la página 1de 2

Student Nurses’ Community

NURSING CARE PLAN – Spontaneous Abortion
ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
SUBJECTIVE:
Deficient fluid After 8 hours of INDEPENDENT: After 8 hours of
“Dinudugo ako, volume A miscarriage nursing • Monitor vital signs, • Changes in blood nursing
humuhilab ang (isotonic) (spontaneous intervention the compare with pressure may be intervention the
tiyan ko kagabi related to abortion) is any patient will patient’s normal or used for rough patient was able to
pa, 12 linggo na excessive pregnancy that demonstrate previous readings. estimate of blood demonstrate
ang blood loss. ends improved fluid Take blood pressure loss. improved fluid
ipinagbubuntis spontaneously balance as when possible. balance as
ko” (I am twelve before the fetus evidenced by • Note patient’s • Symptomatology evidenced by
weeks pregnant, can survive. The stable vital signs, stable vital signs,
have had cramping individual may be useful in
World Health good skin turgor, physiological gauging severity good skin turgor,
and bleeding since
Organization and prompt response to bleeding or length of and prompt
last night) as
defines this capillary refill. such as changes in bleeding episode. capillary refill.
verbalize by the
patient unsurvivable state mentation, Worsening of
as an embryo or weakness, symptoms may
fetus weighing 500 restlessness, and reflect continued
OBJECTIVE: grams or less, pallor. bleeding or
which typically inadequate fluid
• Delayed corresponds to a replacement.
fetal age
capillary refill
(gestational age) of • Measure central • Reflects
• Restlessnes
20 to 22 weeks or venous pressure circulating volume
s less. Miscarriage
• Changes in (CVP), if available. and cardiac
occurs in about 15- response to
mentation 20% of all bleeding and fluid
recognized replacement.
• V/S taken as pregnancies, and
follows usually occurs
• Monitor intake and • Provides
before the 13th
output (I&O), and guidelines for fluid
T: 36.9 ˚C week of
correlate with weight replacement.
P: 90 pregnancy. The
R: 19 changes.
actual percentage
BP: 110/ 70 • Maintain bed rest. • Activity increases
of miscarriages is
Schedule activities to intra-abdominal
estimated to be as
provide undisturbed pressure and can
high as 50% of all
rest periods. predispose to
pregnancies, since
further bleeding.
many miscarriages

Of solutions depends those miscarriages on the degree and that occur before duration of the eighth week. effectiveness of therapy. • Promotes hepatic associated with the synthesis of sac or placenta. 30% have no fetus • Administer vitamin K. establishing blood surprised to learn replacement that there was needs and never an embryo monitoring the inside the sac. RBC • Aids in women are count. and many • Monitor Hb. ovum. coagulation This condition is factors to support called blighted clotting. Hct. bleeding.Student Nurses’ Community occur without the DEPENDENT: woman ever • Administer fluids as • Fluid replacement having known she indicated. with isotonic was pregnant. .