ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Impaired fetal Placenta After 8 hours of Independent: • After 8 hours

“Bigla na lang gas previa nursing • Assess vital • .Provides of
akong dinugo exchange is the interventions, signs baseline data nursing
(I’m related development of the patient will (pulse, on maternal interventions,
bleeding)” as to altered blood verbalize respirations, and blood loss. the
placenta in the
verbalized by the flow and understanding blood pressure patient was able
patient. decreased
lower uterine of every 15 to verbalize
Objective: surface area of segment, causative minutes). understanding of
• Changes in gas exchange at partially or factors • Maintain bed causative factors
completely • Systemic rest
fetal heart site of placental and appropriate rest and appropriate
is
rate or fetal detachment. covering the Interventions. or chair rest when interventions
mandatory and
activity. internal indicated. Provide important
• Release of cervical frequent rest throughout all
meconium. os. The cause periods and phases of
is unknown, uninterrupted disease to
but night time sleep. reduce fatigue,
a possible and improve
theory states strength.
that the • Monitor amount • Provide
embryo and type of objective
will implant in bleeding. evidence of
the lower bleeding.
• Position mother • To promote
uterine
on her left side. placental
segment if the
perfusion.
deciduas in the
• Restrict vaginal • Prevents
uterine fundus examination. tearing of
is not placenta if
favorable. placenta previa
Complications is the cause of
are immediate bleeding.
hemorrhage, • Assess
shock, and • Monitor uterine whether
maternal contractions and labor is present
death; fetal heart rate by and fetal status
fetal mortality; external monitor. and external
• Maintain system avoids
and post
positive cervical trauma.
partum
attitude toward • Supports
hemorrhage. mother and
about fetal
outcome. child bonding.

• Provides
adequate fetal
Collaborative: oxygenation
• Administer despite of
oxygen as lowered
indicated. maternal
circulating
volume.