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Running head: NURSING ASSIGNMENT Nursing Assignment Name of the Student Name of the University Author note
1 NURSING ASSIGNMENT The separations of the premature form of the placenta always begin with the pain of the sharp fundal that are followed by the bleeding from the vagina. The placenta previa generally produces bleeding that is painless. The contractions of the preterm labor are more commonly described to be cramping. The possible form of the most fatal form of the death are the not presented with the sharp form of the fundal pain as they are generally does not cause pain. The primary form of the therapy goals for any of the patients who are suffering from the preeclamtic is only to prevent them from the seizures during conception. The uses of the magnesium sulphate are only done as it is the therapy of drug that is chosen for the severe form of the preeclampsia and they are used for managing the attempt to prevent any progression to the eclampsia. The magnesium sulfate therapy does not have the primary care goal to decrease the blood pressure that can be due to the decrease in the protein content in the urine that is the reversal of the edema. The Nursing care plan for the patient Thecomplicationsintheprenatalstagesaremostlyassociatedwiththemultiple pregnancies that mostly include the preterm form of the birth, the maternal form of the hypertension and the abnormalities in the congenital areas of the mother. The fetal form of the nonimmune form of the hydrops occurs only when there is a infection of the clients who are pregnant with the parvovirus (Lowdermilk, Perry & Cashion, 2014). The births of the posterm are generally due to the maternal hypotension, and fetal nonimmune hydrops are not seen as complications of multiple pregnancies. The nurses should always instruct the patient to eat small but frequent number of meals all throughout the day to reduce the incidence of nausea and
2 NURSING ASSIGNMENT vomiting. The nurse should also instruct the patient to avoid lying down or to recline at least for 2 hours after eating so as to rise the level of the intake of the beverages that are carbonated. The nurse should also instruct the patient that to have food that can be able to settle in the stomach such as the dry crackers toast, or soda (Lowdermilk, Perry & Cashion, 2014). Slight vaginal bleeding early in pregnancy, no cervical dilation, and a closed cervical are associated with a threatened abortion. Strong abdominal cramping is associated with an inevitable abortion. With an inevitable abortion, passage of the products of conception may occur. No fetal tissue is passed with a threatened abortion. The classic manifestations of abruption placenta are painful dark red vaginal bleeding, "knife-like" abdominal pain, uterine tenderness, contractions, and decreased fetal movement (Cole et al., 2015). Painless bright red vaginal bleeding is the clinical manifestation of placenta previa. Generalized vasospasm is the clinical manifestation of preeclampsia and not of abruptio placenta.The client has advanced maternal age (pregnancy in a woman 35 years or older) increases her risk for pregnancy loss. Hypertension, preterm labor, and prematurity are risks as this pregnancy continues. Her greatest risk at 13 weeks' gestation is losing this pregnancy.A nurse should closely monitor the client's vital signs and bleeding (peritoneal or vaginal) to identify hypovolemic shock that may occur with tubal rupture. Beta-hCG level is monitored to diagnose an ectopic pregnancy or impending abortion. Monitoring the mass with transvaginal ultrasound and determining the size of the mass are done for diagnosing an ectopic pregnancy. Monitoring of the FHR does not help to identify hypovolemic shock.
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