Nursing: Assignment Project

Added on -2020-02-24

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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
The complications in the prenatal stages are mostly associated with the multiple
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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